SURVEY AFFIDAVIT

Premises: _____________ Title No. ________________
County: _______________ Sec. ____ Block _____ Lot _____
Seller/Owner: _______________ Borrower: ___________

State of New York)
County of ______ )ss:

________________, currently residing at _________________ , being duly sworn, deposes(s) and says the following:

1. (I)(We) am/are the owner(s) of the property identified above, and (I)(We) have been the owner(s) of said property for at least the last two years.

2. (I)(We) will be after the date hereof residing at _________________ .

3. That the property is improved and used exclusively as a residential structure for no more than four families and that there is and has been no non-residential, commercial activity whatsoever conducted at the property.

4. That all improvements which are now located on the property have existed for two years or more.

5. That during (my)(our) ownership, there have been no lawsuits, administrative hearings or court proceedings involving the property. (I)(We) know of no disputes with any persons, including the owners of any of the land which abuts (my)(our) property, in which the size of (my)(our) property or the location of its boundaries has been in issue.

6. That no person has at any time claimed any rights to use any portion of (my)(our) property for any purpose where such person has claimed either ownership of any portion of (my)(our) land or an easement or other right to use or cross (my)(our) property.

It is understood that this affidavit is being given to induce First American Title Insurance Company of New York to issue a policy or policies policies or title insurance, and (I)(We) understand that it is relying on the truth of the statements made by (me)(us) in this affidavit.

__________________

 

Sworn to before me this
______ day of _______ , 19__