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AFFIDAVIT OF PAYMENT HISTORY (State of: ____________________) SS: (County of: ____________________)
BEFORE ME, the undersigned authority, duly authorized in the state and county aforesaid to take acknowledgements, this day personally appeared the undersigned Affiant(s), , jointly and severally if more than one (hereinafter referred to collectively as "Affiant"), who, first being duly sworn, depose(s) and say(s): (1) Affiant is the holder of that certain Note and Deed of Trust, dated , 19 , and recorded in Volume , Page(s) , of the County records, State of , encumbering property located at .
(2) Affiant has been personally responsible for the receiving of payments and servicing of said Note and Deed of Trust for the time period starting , 19 , thru and including the date hereof. (3) The following table represents a true and accurate accounting of the payment history for said Note and Deed of Trust:
(4) There have been no returned checks, except as noted below:
(5) I acknowledge that this information is being relied upon as an inducement for a Purchaser to acquire said Note and Deed of Trust. I swear under penalty of perjury that the above information is true, accurate, and complete and may be relied upon in all respects. FURTHER, Affiant(s) sayeth naught. Date:
AFFIDAVIT OF PAYMENT HISTORY (State of , County of ) SS: Before me, a Notary Public in and for said state and county, personally came , the Affiant in the above instrument, who acknowledged the execution of same to be (his, her) free and voluntary act and deed. In testimony whereof, I have hereunto subscribed my name and affixed my notarial seal at , on this day of ,19 . Notary Public
(Seal) (Exp. Date) (State of , County of ) SS: Before me, a Notary Public in and for said state and county, personally came , the Affiant in the above instrument, who acknowledged the execution of same to be (his, her) free and voluntary act and deed. In testimony whereof, I have hereunto subscribed my name and affixed my notarial seal at , on this day of ,19 . Notary Public (Seal) (Exp. Date) |
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