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Affidavit And Agreement (Fannie Mae) Form. This is a Ohio form and can be use in Real Property Transactions Statewide.
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Tags: Affidavit And Agreement (Fannie Mae), Ohio Statewide, Real Property Transactions
FannieMae
Affidavit and Agreement
(by Borrower and Property Seller)
State of
County of
, a notary public in and for
County,
Before me,
(referred to herein,
personally appeared
whether one or more persons, as “Borrower Affiant”); and
(referred to herein, whether one or more persons, as “Seller Affiant”); and each such person, being
of lawful age and being duly sworn according to law, upon oath deposes and makes the applicable statements
contained in Sections III below; and Borrower Affiant and Seller Affiant also agree as provided in Section II below.
I.
REPRESENTATIONS:
Representation No. 1. That Borrower Affiant is the party named in a promissory note (referred to
herein as the “Note”) and a mortgage, deed or trust, or deed to secure debt (referred to herein as the
“Security Instrument”), both bearing date of __________________________, evidencing and
securing a loan (referred to here in as the “Loan”) constituting a lien on the property located at
__________________________________________________________________________________
(referred to herein as the “Property”), the Loan having been made to Borrower Affiant by
(referred to herein as the “Lender”).
Representation No. 2. That Seller Affiant is the sell of the Property to Borrower Affiant.
Representation No. 3. That the purpose of the Loan is as shown by X in the appropriate space
below:
___ to finance Borrower Affiant’s purchase of the Property, at the purchase price of $
___ to refinance outstanding debt against the Property.
___ for the following purpose:
Representation No. 4 That the financial terms of the transaction constituting or related to the Loan
are as follows:
Amount of the First Mortgage on the Property
$_________________
Cash Equity (if the Loan is not a refinancing)
$_________________
Purchase Price of the Property
$_________________
Initial Monthly Payment under the Note
$_________________
There is no subordinate financing relating to the Property except as specifically set forth immediately
below:
Terms of Subordinate Financing
Amount: $
Term:
months
Interest Rate:
Monthly Payment: $
Name and address of the holder of such subordinate financing:
Representation No. 5. That Borrower Affiant has not given, conveyed, permitted, or contracted for,
or agreed to give, convey, or permit any lien upon the Property to secure a debt or loan, except for any
lien connected with subordinate financing upon the Property, as fully disclosed in Representation No.
4 above, and the lien referred to in Representation No. 1 above.
Representation No. 6. That if the Loan is for the purpose of financing Borrower Affiant’s purchase
of the Property, such as interest charges, real estate taxes, hazard insurance premiums, initial
mortgage insurance premiums, or of funds to be used for renewal of mortgage insurance relating to
the Loan, have been, or will be paid, funded, or borne by Seller Affiant for or on behalf of Borrower
Affiant, except as otherwise specifically stated immediately below.
Representation No. 7. As indicated by X in the appropriate space adjacent to A or B below.
___ A. That (If indicated by X in the appropriate space adjacent hereto) Borrower Affiant now
occupies the Property as Borrower Affiant’s principal residence, or in good faith will so
occupy the property, commencing such occupancy not later than: (a) thirty (30) days after this
date or (b) thirty (30) days after the Property shall first have become ready to occupancy as a
habitable dwelling, whichever is later.
___ B. That (If indicated by X in the appropriate space adjacent hereto) Borrower Affiant does not
occupy the Property as Borrower Affiant’s principal residence and does not intend to do so.
Initials of Borrower Affiant
Initials of Seller Affiant
II. AGREEMENT PROVISION:
A. Borrower Covenant: Borrower Affiant agrees that (if an X is placed in the appropriate space
adjacent to Representation No. 7A of Section I above): (1) it shall be an additional covenant
of the Security Instrument that Borrower/Affiant occupy the property as provided in such
Representation No. 7A; and (2) failure to so occupy the property shall constitute a breach of
covenant under the Security Instrument that shall entitle the Lender, its successors and
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assigns, to exercise the remedies for a breach of covenant provided in the Security
Instrument.
B. Inducement Agreement. Borrower Affiant and Seller Affiant agree and acknowledge that the
foregoing Borrower Covenant (if applicable), the Representation made in Section I above,
and the Statement under Oath made in Section III below are made for the purpose of inducing
the Lender and its assigns to make or purchase the Loan.
III.
STATEMENT UNDER OATH
A. By Borrower Affiant: Borrower Affiant hereby deposes and says upon oath that those
Representations referred to and set forth in Section I above as Representations Nos. 1, 3, 4, 5,
6, and (if applicable) Representation No. 7A are true and correct.
B. By Seller Affiant: Seller Affiant hereby deposes and says upon oath that those
Representations referred to and set for in Section I above as Representations Nos. 2 and 6 are
true and correct, and that Representations Nos. 1, 3, 4, 5, and (if applicable) Representation
No. 7A, as referred to and set forth in such Section, are true and correct to the best of Seller
Affiant’s knowledge, information, as belief.
_____________________________________________
_____________________________________________
(signature) (Borrower Affiant)
(signature) (Seller Affiant)
_____________________________________________
_____________________________________________
(signature) (Borrower Affiant)
(signature) (Seller Affiant)
Sworn to before me and subscribed in my presence this
day of
, 20
.
_____________________________________________
Notary public in and for
County
My commission expires:
(Date)
CERTIFICATE AND ACKNOWLEDGEMENT BY SELLER
The Lender hereby represents to, and certifies for the reliance of, any party to which the Loan hereafter is
sold or assigned, that all of the applicable representations and statements contained in Sections I and III
above are true and correct to the best of the Lender’s knowledge, information and belief. In addition, the
Lender here acknowledges and accepts the Borrower Covenant (if applicable) and the Inducement
Agreement, set forth, respectively, in Paragraphs A and B of Section II above.
By: _________________________________________
(Name of Lender)
(Signature)
_____________________________________________
(date)
_____________________________________________
(Title)
(This form should be executed by the borrower(s), property seller(s) and lender on the date the Loan is
closed.)
ADVISORY NOTICE
If any statement in the foregoing Affidavit and Agreement is made under oath by Borrower Affiant or
Seller Affiant with knowledge that such statement is false, the person making such false statement may be
subject to civil and criminal penalties under applicable law.
In addition, any breach of the covenant by Borrower Affiant relating to occupancy of the Property (as set
forth in Paragraph A of Section II above) will entitle the holder of the Note to exercise its remedies for
breach of covenant under Security Instrument. Such remedies include, without limitation, requiring
immediate payment in full of the remaining indebtedness under the Loan together with all other sums
secured by the Security Instrument, and exercise of power of sale or other applicable foreclosure remedies,
to the extent and in the manner authorized by the Security Instrument.
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