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NOTARY PUBLIC SHOULD ALWAYS
AffiX OFFICIAL SEAL afln- IUC.Clainihi'
th~t acln"..ledim~nl 0(" affidavil u ma,u
corrf'(tl)'.
FORM NUMBERS AND OTHER
IN~TRUCTION~ FOR EACH ~TATE
(ALSO CONSULT MORTGAGE IN!lTRUCTION
, BOOK).
ALABAMA - Non.. bul 1 it pr.f.ubl..
ARIZONA - I
ARKANSAS - N,,,,.
CALlFORNIA.- 1
COLORAl>O - None
CON1"U,TICUT - Corpordt~ s~..1.
DELA WARE - Corpora Ie SuI.
DIST, OF COLUMBIA - Corporal. SuI,
li~n.aturt." b)' Ph"side-of or othl'!' uftlcf'r. and
8 and 9 for corporalionl; 1 for oth.ra.
Individual murtiallor may not act by
."tnt.
FLORIDA-I, ..nd t..o ..itnu....; if morl'
g.3lKN Jigns or accrpu mortgage, Olort.
gall" .hould abo 8cknowl.dll"
GEORGIA - 1 or 7, If 7 it UKd, noUty
mUll bt on. of wlln_
IDAHO - 1
ILLINOIS - I. Typ. on not.: "Thi. not.
il "e(.-uu'.J h)' .. chattel mort)ita~t!." Typr
all nant" below .ignaturt'J, !ncludinK
naml's of Not",r)' Publi..: and any lfII'ilnf'tWs.
INDIANA - 1
lOW A-I. Typ. all nam... btlow .iana.
turtL
KANSAS-Typ. all nam.. btlo-w .i~tur...
KENTUCKY - Non.
LOUISIANA - Do nol \1M thit mortaaa'
form,
i. MAINE - None
MARYLAND - Corporlltt SuI; 1 and 2.
UnI... .ianalure and admowl.dam.nl are
by Pre.id.nt or Vice Presidenl, aI.o 8.
Type nam" above or below .ianalura. In
Baltimore. .how name and addr... for ft.
turn of re<ordtd copy.
MASSAr:JIUSETTS - None
MICHIGAN - 4. Silln above typed nam..
uactly .. typed.
MINNESOTA - 1 and 6
MISSISSIPPI - 1 or 5
MISSOURI - 1 if re-cordtd. None if filtd.
Ask for fiIina only, except a. to maturitia
of live y.an or ove-r, or property attached
10 realty.
MONT ANA - 1 ..nd 2 and 6. Tr..~urtr
not authori...d 10 .ign. Mortgallor'. copy,
a~ w.II aJ Filing Documenl, mwl contain
.ign.d acknowledl{tI1rnt and affidavit.
NEBRASKA - Non.. Ty~ all nam~ be-
low .ian.tureJ.
NEV ADA - Non.
GO ~1.;:l61~r
'-- -'-.J.
(J, ~ .
3:/J
I
.ThT\>-<W,'
I.. -1:-'~' t '"
m'l.r1'lt f~r ..i1d County and Sut~. ~hcrtb,.
10
AC.J(NOWLEDGMliNT BY INDIVIDUAL OR PAliTNER
'tttt -;.,., ; t ~. ' COt:NTY OF
('-crIJ!7 twt O!'l Lhia
. lpll.cc \ In uid
, 55,:
. . Not.ur l'ubltc dul, qUlld~J
doy of " 19
CU\J.ut,. bd<;.>re mt ~<U.0:'1\1,. I.HOC'J.r(J
(For I.JldJ...l Wor/,.,or)
t" me (.'<'1"01\1.11, .ell ~nt.l..n u and to be tbe-
Hl(l\lt~-~l l-<rs.....o nl.mC'J an1 dC'tOlt<d an "nJ
p.llt, tu And llIho t1h:utC"d; in bll u_n pruptl
h:J.ndcntll~. and .b~ nlr:ra II .uhKnbt-d to
the ..Itbln .sill.! fort,uina and "nut-xed irutru
Ill(nt of .. (111111 ~.a.rina: d.a.te u therC'iD i..d.o
cAleJ. alld pruJu..:C'd and ddiyutd the ume
~f~/I~ b~('mC':o~l.:db~h.~~~n k~::~' th~~~n~~~~
01 ul<i tn.lrur.J('nt Aud adlnowkJac-J th..t be
tlineJ, lCJ.led, (')l('~utC'd and ddl1'uC'J the ...m~
d .&1:l1 to b(' bit jr~C', lawful and Yuluntary .act
~lr~~ l;h:~~Irl~Jr ~~~lI~:eld ~~'r:~~~in~dco:~~&~~
fortb.
Gl'f'tn under .1.nd ,utneu my hind and offk;al
t~J.l tbe d.ay and Je.ar IQ thil certificate fint
alo...,vC' wntt~n_
(For P.rl.lr.bl~ Morl ,.,0.)
t..... me ~o('i!k.[")all) .coIl iU.U1llt1l 311J knu"'B .1.1 a:llJ to k a
mcrnb.er of the p..artIlulblp or .
.l11<1 tbe ,denlto:&l ptn.:)u deKubtd 10 and party tv
.and _h0 t1C'ut.eJ in U\J ,'~rt:lerlhlp name the Within
and furt~O&~ and a0I1C'1td I!tltrument c.f _ rltlllll
l<.ilr111i d.l.u .1.1 thutm IUJIC.l.tC"dr and proJu(~d and
deh't'tred the umt b<iore mC'. "".bO. upon belnl nrlt
d.lIy '.'urn by mC', Il.lted that hl' ~niJ'''1 tbe C011ttntJ
of UIl! lnltrument and be duly I.d(no..h~,i&C'J to rot
lh:lt be' SliDe-d. 1.('1.1cd 3nJ ,lelivtft'd the ...me III UIl!
~,.;utl:er!hLI' name al ami fur .an,i to ~ blJ an.! I.ud
lyrtr:cnh:p'l fre-t. bwdul and ".....ll1IlUry .ad and de-C'J
fur the U!el, vurpu~el ~nd .conll~er~hon therein
nlClltlUnC"d .and contAIr:~d anJ ~et forth.
Given under and 1lI1t!\tU Ill) ~u>nd and offici11 leal
the d.l) .a !HI )e-.ar in thu ctrhh:3te hut ~bo'Vc "-ClUell
~OTARY I'l;BLlC
NOTARY PUBLIC
~oUfJ' Public in and lor
Rt'li..Jan. at
My com.miuion tx~irt. 19
ST A n: O~' ~W.I-J3~~BNT BY. fguRN~R~iI~,~~GOR , 55,:
I bertby cert.ly that on ~H".~f 1&y of .,)(...... JV,1I.. 190-). 10 J'~ ne..e<r1ace)
In l.lld County. ~fore me,./...... ~ <-1'1,.11:..).,"('_ /-1-... t..~u'~n. , a Nobr)" Public duly quallhcd
T~ft of Notary I'ubhc)
in and fur tho County o~. ~t.~1 ..,.......... . (_. . 5ult 01 ,1'1OriAI&
~rKlnall, appcarN Vv ^__....-. -.~~.{t.a.l-11, ...)..-"\...,.... . to me vcn,unally .c~l known
< Na"", of Ollie.. who ..,ned)
to bot- tb~ Identical penon who II.oed l!ie within and forcloan. Inllrument of wnhl'lf In hu (her) OW"
proper Js~dwntV11" (d "e1J knowo to Of to be and ~ blauelf (benell) to be tb.
1_'~<...l.1<: I.;r-. of.oomaa .C..,..,
(Title of Officer) ( Arne 0 orrorahon)'-
the coqooration which cx~uted tbe u.me. and produced and deliyered tbe "me before mr-, anJ wbo. belna:
b.f me fiut duly ,worn. dId say that (I)be i. .uch o~r of the aforet..;ud corporation. tbe wlthm r,~mrd mort.
i;lior; and bei.~ authorind ao to do. executed the forecoini inslr.umeot; tbd (s)be wu duly ~~r\.!ed ,I
to ex<<ule .ald IMtrument fO,r ~nd in the name of .aid, cor{.lOra.hoo a~ 11)Ikl tblb ac~nr::...~M, t{~.'--,~/t:,
(.)be knowI the contenta of ....Id anstrumeDI; that (J)he re'lda at ""'..,(:)'j I,v!,.. ....j(,"'-..-... "\ !.'J ~ '-'/:.,...., .~
that (.)he know. the Hal of ",Id corporallon; that the seal .ffixed to laid lOJtrument i. \.be-, ro/p.,,;.....,.. ~l i' ",
01 nid cOJlXlralion; that nid inatrumtot ,,&0 .iao~, Ka~ and( 4-h...9<I 00 beba)I..oC";id ~rP9rat.o"',:,y ~,
by autbority of lit Board of Di.-..:ton, aod nid ,,'vI' .~U.("tf,C}"" .\r'\:,.,-'.,~,--"<~'-'pJ "','" I,
acknuwlrda:ed that (.)be exc:-cuted .aid instrument al. hi. (ber) .free. true and b.'fdul.;.~t ~ d~d antY~ '.\./ ::
free. true. b.wful aDd rorpor.ate act and <ked of lald corpouhon. In punuance of )-AId J,u6:Qri\l by blm/ 'a oJ....
(ber) an bit (ber) 111d cap.aclty and by uld cort.oQrahon yoluntanly ext<'uted for th~ p.tt.~rll'~ Ind C'--~ : ,-- :
conJlderatlOn therein mentioned Uld contained and ut forth. by liruinc the name .0(:.Jti. rafrdIL by .. :... : :.
bun.JeH (heneH) .U luch officer. ,. ..-~ ~ tr . ,- .i
Wltne.. mY,lu.:,d ~,~~:<t~t'~~~"?4:;.'ttJt~~ 6nt,a~.e_~~t1;-\.",,,~_~n, ,...:: ~:.:
Nolary Public in'X for,. 'J:.ug/Y. 5u,-~ of ...".....' ,\J" \
, . ~::A..L/i. 0- <-~I<.rl'1 . .. ,':' "
Ite-aldlq at.,. ,""';1r., '-"" ,t:L 7' ';"..c.:.' . " .. "", ,C'~f":'f-lit. .,'
2 My com:;;~~::;;T~;.T~~A~IOl'J AGENT ." ',.-...."'I.9~,l'
STATE OF _,__" ... '" ..... ... ,.... , .. COUNTY OF. . 55,:
The un<k:rsiencd m..aku a solemf' oath and "I' that h.e il the duly appointed and authoril.ed &.lent of
C.l.T. Co n>CH"1hon. the wlthin n.amed morU: &l:e-t , With authority to nake tblt affidaVIt And b.aYIOJ( knowl~~e
of all the facu; that t..be coruidcration in and of thC' attacbed ch.attd mQrtRale waJ actual and adequate and
true and bona fide a. tber~in t.et forth; that the uid mortJr:uec b..al a .,alid claim uain.t the Within ramed
morta:alor amountinl" to $ ...(face amount) due and to become due under ..aid morta..-e;
tb..at the consideration of a.aid mortaue i. the .um of S . (proceed,) .dYI.Dced b,.- mort-
e.aaee to 'morta:aaor U\:u~d by eland. beld by mortaa.aor; that uid claim II just and unpaid; that tbt'
foreroinl mortK.ge wa. ain>n ir.. good faith to U'Cure tbe I~me for the lJurV'Jses in l:.lch Instrument -.et forth
.I.nd iJ not intended or delia:ncd to ddraud. hinder or delay creditors; tbat tbe within mortg~ie haJ been
,accepted in I~ faith and without intent of the mort&l.l"ee to hinder. deiraud or dc:b.y crcdiiu" vi ~or;
mort&.a,or.
County. St.a1.e of
Si,natur. A&.nt. C.I.T, Corporation,
Sworn to and luhscn~d before me. . r\ot.ary Public in And for u.id County, on 19.
My commluion expiru
. 19
. Notary Pu..blic ruidifi&" at