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,, • Minnesota Uniform Conve ancing Blanks (1978) <br />. --7368708 <br />State of Minnesota, <br />} ss. Affidavit Regarding Seller(s) <br />County of Hennepin <br />George A. Johnson and Gloria J. Johnson, husband and wife <br />being first duly sworn, on oath say(s) that: <br />1. (They are) Lile is) Lhe k:nows), _____________________ _ <br />______________ the person{s) named as _:g~r:.!:a~n!!at~o~r..!(!:.sJ..) ________ _ <br />in the document dated --------=,----=-=----_-_-, -an-d"""'fi,...led--,fo,...r_re_c_o_rd_c_)_c.._:\--,._.,,.:2-:,;""TJi ~ -· as Document No. :r3>{,A[") (?7 <br />(or in Book _____ of ______ Page -----------: ) in the Office of the <br />(County Recorder) (Registrar of Titles) of Hennepin County, Minnesota. <br />2. Said person(s) (is) (are) of legal age and under no legal disability with place of business(es) (respectively) at <br />----,------,,--=------------and for the last ten years (bas) (have) resided at: <br />8 7 9 ~'l"O"Wt\ ~ • 0 Y-N')C) 2 (., '-{I'S- <br />3. There have been no: <br />a. Bankruptcy, divorce or dissolution proceedings involving said person(s) during the time said person(s) <br />(have) (bas) had any interest in the premises described in the above document ("Premises"); <br />b. Unsatisfied judgmentS of record against said person(s) nor any actions pending in any courts, which affect <br />the Premises; <br />c. Tax liens against said person(s); <br />except as herein stated: <br />4. Any bankruptcy, divorce or dissolution proceedings of record against parties with the same or similar names, <br />during the time period in which the above named person(s) (bas) (have) had any interest in the Premises, are not <br />against the above named person(s). <br />S. Any judgmerus, or tax liens of record against parties with the same or similar names are not against the above <br />named person(s). <br />6. There has been no labor or materials furnished to the Premises for which payment has not been made. <br />7. There are no unrecorded contracts, leases, easements, or other agreements or interests relating to the Premises <br />except as stated herein: <br />8. There are no persons in possession of any portion of the Premises other than pursuant to a recorded document <br />except as stated herein: <br />9. There are no eru.-roachmentS or boundary line questions affecting the P emises of which Affiant <br />knowledge. <br />Affian1.(s) know(s) the matters herein stated are true and make <br />passing of title to the Premises. <br />Notarial stamp or seal (or other title or rank) <br />i, ... ~ ....... ~ ... ~~-::,,.:..,:,..,.-..>~ • <br />. ,~::· :·: SHELLY M. SOLUM BULLOCK <br />·7 '. \I t~s.:._t"(;"-"i ~era:' !;.·:-M·NNESOTA <br />~l" ,.,, · ·=•uJ•• 31.200s <br />This lnsttument was drafted by (name and addn:ss): <br />BURNET TITLE <br />201 E. Lake St. 2nd Fl. <br />Wayzata, MN 55391 <br />00-17364 <br />06007510 <br />lQ"i'l'f\
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