HOMEOWNER'S POLICY OF TITLE INSURANCE AFFIDAVIT Before me, the undersigned authority, on this day personally appeared , ("Sellers"), personally known by me to be the persons who names are subscribed hereto, who being by me first duly sworn, on their oaths stated the following to be true and correct: 1. We are the owners of the land (described in Exhibit A attached to this affidavit). 2. There are no liens against the land and no judgments or tax liens against us, except those liens described in the commitment by [title company] describing the land. (if there are additional liens, Sellers must add after this paragraph 2). 3. All taxes and assessments by a taxing authority are paid through and there have been no special tax assessments granted on the land or tax exemptions that were not lawful. 4. All assessments by the homeowners' association for the subdivision/condominium are paid current and outstanding assessments are not yet payable. 5. There have been no improvements added to the land or construction on the land within the last year. 6. There are no pending repairs or improvements to the street(s) adjacent to the land. 7. The land has a single family house/condominium known as [address] , and does not have a separate building, garage or apartment used as a second residence. 8. Any improvements we added to the land were authorized by a building permit. 9. We are not aware, and have not been told, that the improvements on the land violate any building permit, zoning, restrictions or covenants. 10. We not are aware, and have not been told, that the improvements on the land encroach over any building lines, easements or property lines. 11. We are not aware, and have not been told, that the improvements by our neighbors encroach over our property lines. 12. The land has actual pedestrian and vehicular access based on a legal right of access to the land. 13. We indemnify and hold harmless [title company] from any loss, liability, costs, expenses, and attorneys' fees, including attorneys' fees to enforce this agreement, because of any errors or incorrectness of this affidavit and American LegalNet, Inc. www.FormsWorkflow.com because of any defects, liens encumbrances or other matters currently affecting or that may affect the title to the land before the recordation of our conveyance or mortgage. Date: _______________________________ (Seller) _______________________________ (Seller) State of County of Sworn to and subscribed before me, the undersigned authority, on this the , 20 by and day of . _______________________________________________ Notary Public in and for My commission expires County, Ohio , 20 . American LegalNet, Inc. www.FormsWorkflow.com