State of ___________}
County of _________ }ss:

The undersigned, being duly sworn, deposes and says:

I am ___________________ of ___________________ the holder of record of the Mortgages(s) described in Schedule A annexed hereto and of the Note(s) secured thereby; that due inquiry and search has been made with respect to such Note(s) and Mortgage(s); that such Note(s) and Mortgage(s) have been lost, misplaced or destroyed; that such Note(s) and Mortgage(s) have not been pledged, mortgaged, hypothecated, encumbered or otherwise assigned; and that such Note(s) and Mortgages(s) will be promptly delivered to , the assignee of such Note(s) and Mortgage(s), if located.

By:__________________

Sworn to before me this
___ day of _________, 19 ___

________________________