AFFIDAVIT
OF NO LIEN
STATE OF
____________________
COUNTY OF
_________________
Before me, a duly
commissioned Notary Public within and for the State and County
aforesaid, personally appeared _________________ who, after being
duly sworn as required by law, deposes and acknowledges:
1. That he / she is
the ___________________ [title] of
__________________________________________ [firm].
2.That
_____________________ [said firm] is the owner of the improved
property known and legally described as follows:
SEE
EXHIBIT "A" ATTACHED HERETO
or
[Set
forth legal description]
3. That
___________________is not the subject to any bankruptcy, creditor's
reorganization, or insolvency proceeding and none are pending,
contemplated, or threatened.
4. That
____________________has possession of the property and that there is
no other person in possession who has any right in the property.
5. That there are no
unrecorded labor, mechanic’s, or material men's liens against the
property and no material has been furnished, or labor performed, on
the property which has not been paid in full.
6. That there are
no unrecorded easements, liens of assessments for sanitary sewers,
paving, or other public utilities against said property.
7. That there are no
claims whatsoever of any kind, description against any fixtures, or
equipment located on the said premises.
8. That there are
no existing contracts for sale, options to purchase, unrecorded
deeds, or mortgages existing against said property.
9. That this
affidavit is made for the purpose of:
[Insert Statement]
DATED this the ____ day of
_______________, 20__
________________________
Signature of Affiant
SWORN to subscribed before me, this
___ day ____ __________, 20__
________________________________
NOTARY PUBLIC
