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, , . <br /> Form No.115-M AFFIDAVIT REGARDING PURCHASER :�tinnesota Uniform Convevancin Blanks(1978 <br /> AFFIDAVIT REGARDING PURCHASER(S) <br /> Richard N.Chal(en ,being first duly swom,on oath say(s)that <br /> 1. They aze/He/She is Richard N.Chalten ,the person(s) <br /> named as mortgagor(s)in the document da[ed 09/30/2011 ,and filed for record as Documen[No. <br /> in the Office of the County Recorder of Hennepin Counry,Minnesota. <br /> 2. Said person(s)(is/are)of legal age and under no legal disability with place(s)of business respectively at: <br /> and for the last ten(10)years(has/have)resided at: '*SEE ATTACHED*" <br /> 3. There have been no: <br /> a. Bankruptcy,divorce or dissolution proceedings involving any of the Person(s)during the time the Person(s)(have/has)had any <br /> interest in the premises described in the above documents.("Premises"); <br /> b. Unsatisfied judgments of record against said person(s)nor,to your�ant(s)knowledge,any actions pending in any court,which <br /> affect the Premises; <br /> c. Ta�c liens against said person(s);except as herein stated: <br /> 4. Any Bankruptcy,divorce or dissolution proceedings of record against paRies with[he same or similar names,during the period in which <br /> the above named person(s)(has/have)had any in[eres[in the Premises,are not against the above named person(s). <br /> IVONE. <br /> 5. Anyjudgments or tax liens of record against panies with the same name or similar names aze not against the above named person(s) <br /> NONE. <br /> 6. There has been no labor or ma[erials furnished ro[he Premises for which paymen[has not been made. <br /> YONE. <br /> 7. There are no recorded or unrecorded contracts,leases,mortgages,easements,or o[her agreements or interest relating to the Premises <br /> except as herein stated: <br /> NONE. <br /> �ant(s)know(s)the matters herein stated are vue and make(s)this�davit for the purpose of inducing the acceptance of title to the <br /> Premises. <br /> STATE OF MINNESOTA ��`-- — ' '6/� <br /> chard N.Chalfen <br /> COU�ITY OF HENNEPIN ss. <br /> Subscribed and swom to before me Se tember 30,2011 '� <br /> �� 1 � <br /> �� r )� . i , , �, i 5 . <br /> ��•.� � 1 i 'i - <br /> - SIGNATU O PE TAKING ACKNOWLEDGEMENT <br /> THIS INSTRI.`h�NT W AS DRAFTED BY(NA.^.�A'JD?.DDRESS): <br /> Title One,IRC. NOTARIN STAMP OR SEAL(OR OTHER TITLE OR ftANK) <br /> ]4985 Glazier Ave. <br /> Suite 335 <br /> Apple Valley,MN 55124 <br /> File No.:1103038 <br /> Ti[le One,Inc. File No.�.I 107078 <br /> Fortn�.Affidavit-Purchaser Revised�.02.04 <br />