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Affidavit by Owner <br /> File Number: BCA 22-0081-B <br /> Property Address: mom Old 35 Road-Danbury,Wisconsin 54830 <br /> Brief Legal Description: Parcel in SW NW&Parcel in SE NW,9--400-16 <br /> The undersigned owners), in consideration of selling the real estate described herein and in consideration of FirstAmerican Title Insurance <br /> Company issuing its Policy(s)of title insurance irnwing an interest in or title to the real estate described herein,and being fust duly sworn on <br /> oath deposes,states and warrants,except as stated in Paragraph 7 below. <br /> 1. That the undersigned is an owner of the real estate which is described in the above referenced commitment(hereinaflercalled"the <br /> lrh'"); <br /> 2. That there are no encroachments of fences, buildings or other improvements to the property onto any easement or on to adjoining <br /> property,and no encroachments of any fences,buildings or other improvements of adjoining premises onto the property; <br /> 3. That there are not any unrecorded easements,party walls,agreements,or rights-of-way which affect the property; <br /> 4. (Check one box) <br /> 3; That during the last six months,no work has been done and no materials have been furnished in connection with the improvement <br /> of said property. That there are no uncompleted buildings,structures or other improvements situated thereon; <br /> ; <br /> -OR- <br /> That during the last six months wodc has been done and materials furnished in order to make improvements on the property,but <br /> that except as stated in Paragraph 7,all of said work and materials have been filly paid for and there are no claims or disputes in <br /> existence with reference thereto, that no notice of intent to lien has been given,and that waivers of lien from all appropriate <br /> parties are attached hereto. <br /> 5. That owr>er is in sole possession of the property and that no other party has possession or has rim ofpossession under any lease cr other <br /> agreement,written or oral; <br /> 6. That since that effective date of the commitment referenced above,owner has not filed bankruptcy,received notice of any pending <br /> cause of action, conveyed or encumbered the property or is currently a party to any action that could result in the filing of any judgment <br /> or lien against the property. <br /> 7. Exceptions to above statements: <br /> Execution Date: 53' <br /> ACKNOWLEDGMENT <br /> ...14 11 .. <br /> De • L,Meyer State of Wisconsin ) <br /> )ss. <br /> A County of Burnett ) <br /> Michael T.Meyer <br /> Personally came before me on March 25,2022 the above-named Land <br /> Title Exchange,LLC as QI for Deborah L.Meyer and MicbaelT.Meyer <br /> to me!mown to be the person(s)who executed the foregoing instrument and <br /> \Andrew t•y,Exc,: ge(HI foracknowledged the same. <br /> rile r •+ �- ri <br /> s o t A { ' *Sane <br /> *> Notary Public,State of Wisconsin <br /> ',rrrt of Wta wry My Commission expires:August 20,2023 <br />