Hold Harmless Affidavit

File No.: AFFIDAVIT State of County of The Affiant, whose address is , being first duly cautioned and sworn, deposes and says that: 1. Affiant is the owner of the property located at: [give complete address] ) ) ) ALL BLANKS MUST BE COMPLETED. 2. That Affiant acquired the property by the following type of document: Sheriff's Deed Deed in Lieu of Foreclosure Auditor's Deed Other [specify]: 3. That the party who was foreclosed upon or delivered the Deed in Lieu of foreclosure was 4. 5. That the party who was foreclosed upon or delivered the Deed in Lieu of Foreclosure is not in possession of the property. That the property constitutes a single family residence. This AFFIDAVIT is made for the purpose of inducing , as agent for , to issue a title insurance policy or other title evidence without taking exception to "creditors' rights", and if acting as escrow or closing agent, then to disburse any funds held as escrow or closing agent. Affiant hereby indemnifies and agrees to save harmless and against any damages or expense, including attorney fees, sustained as a result of any of the foregoing matters not being true and accurate. (Affiant is used herein for singular or plural, the singular shall include the plural, and any gender shall include all genders as the context shall require.) STATE OF COUNTY OF ) (ss.) ) In testimony whereof, I have hereunto subscribed my name and affixed my seal on the day and year last aforesaid. Notary Public American LegalNet, Inc. www.FormsWorkflow.com