Affidavit Pursuant To Ohio Revised Code Section 5301 252

AFFIDAVIT PURSUANT TO OHIO REVISED CODE SECTION 5301.252 TITLE TO REAL ESTATE IN RE: PROPERTY OWNER OF RECORD _____________________________________ DEED VOLUME ___________, PAGE __________ STATE OF OHIO COUNTY OF GEAUGA ) ) ) ________________________________ being first duly sworn according to law, deposes and states that he is and has been at all times herein Surveyor No. ________________. AFFIANT FURTHER STATES that he has heretofore been engaged by _______________ _____________________ to ascertain the correct dimensions of the property of said owner located in _________________________, Geauga County, Ohio; said property identified as City/Township/Village Geauga County Tax Account Number _____________ and having been conveyed to the said owner by Deed recorded in Volume _______, Page _______ of the Geauga County Records. AFFIANT FURTHER STATES that the actual description of said property as per survey conducted by Affiant on or about _______________________ is a correct legal description, is attached hereto and made a part hereof. AFFIANT FURTHER SAYETH NAUGHT. __________________________________________________ Signature of Affiant Sworn to and subscribed before me this _______ day of _________________, _______. _________________________________________ Notary Public This instrument was prepared by: ___________________________________________________ Rev 10/2006 American LegalNet, Inc. www.FormsWorkflow.com