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Owner / Lessee Verification Affidavit

I, being first duly sworn on oath state: 1. That I am (please check one): 2. I have sufficient knowledge of the operations of the above property to execute this Affidavit 3. I have personal knowledge that the above property: If sold or refinanced: Type of Rate: Owner / Lessee Verification AffidavitProperty Index Number(s) Owner / TaxpayerProperty Index Number(s) Owner 's Mailing AddressProperty Street AddressCityTownshipEmail AddressStateZipZipStateCityDaytime Phone NumberTownAppeal NumberAppeal YearAn Owner of the property described aboveA Lessee of the property described aboveA Tax Buyer of the property described above (year(s) purchased)A duly authorized Officer/Agent of the corporation/partnership which owns the property described abovePurchase PriceDate of PurchaseFixedVariableInterest Rate.

Owner / Lessee Verification Affidavit Signature of Owner/Lessee Date Print Name Subscribed and sworn before me this day of , Signature of …

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