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Affidavit Regarding Purchaser By Individual(s) Form. This is a Minnesota form and can be use in Department Of Commerce Statewide.
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Tags: Affidavit Regarding Purchaser By Individual(s), 50.1.1, Minnesota Statewide, Department Of Commerce
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AFFIDAVIT REGARDING PURCHASER
by Individual(s)
Minnesota Uniform Conveyancing Blanks
Form 50.1.1 (2011)
State of Minnesota, County of
being first duly sworn on oath say(s) that:
(insert name of each affiant)
1. (They are) (
person(s) named as
dated
he is) (
he knows)
the
in the document
and filed for record
(month/day/year)
(or in Book
as Document Number
(month/day/year)
of
, Page
), in the Office of the
County Recorder
Registrar of Titles
(check the applicable boxes)
of
County, Minnesota.
2. Said person(s) (is) (are) of legal age and under no legal disability with place of business(es) respectively at
and for the last ten (10) years (has)(have) resided at:
3. There are no:
a. Bankruptcy, divorce or dissolution proceedings involving said person(s) during the time period in which said person(s) have had
any interest in the premises described in the above document (“ Premises”);
b. Unsatisfied judgments of record against said person(s) nor, to your Affiant(s) knowledge, any actions pending in any courts which
affect the Premises;
c. Tax liens filed against said person(s);
except as herein stated:
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4. Any bankruptcy, divorce or dissolution proceeding of record against parties with the same or similar names, during the time period in
which the above-named person(s) (has) (have) had any interest in the Premises, are not against the above-named person(s).
5. Any judgments or tax liens of record against parties with the same or similar names are not against the above-named person(s).
6. Said person(s) (has) (have) not ordered or arranged for any labor or materials to be furnished to the Premises for which payment has
not been made.
7. There are no persons in possession of any portion of the Premises of which Affiant(s) (has) (have) knowledge, other than pursuant to a
recorded document, except as stated herein:
Affiant(s) know(s) the matters herein stated are true and make(s) this Affidavit for the purpose of inducing the acceptance of title to the
Premises.
Affiant
(signature)
(signature)
Signed and sworn to before me on
, by
(month/day/year)
(insert name of person making statement)
.
(Stamp)
(signature of notarial officer)
Title (and Rank):
My commission expires:
(month/day/year)
THIS INSTRUMENT WAS DRAFTED BY:
(insert name and address)
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