AFFIDAVIT AND MEMORANDUM OF AGREEMENT FOR PURCHASE AND SALE
BEFORE ME, the undersigned authority, on this day personally appeared , who, being
first duly sworn, deposes and says that:
1. An Agreement for the Purchase and Sale of the real property
described in the attached Exhibit "A" was entered into by and between the Affiant, as (Buyer/Seller), and
, as (Buyer/Seller), on the day of
, 19 .
2. The closing of the purchase and sale of said real property,
per the terms of the Agreement, is to take place on or before the day of , 19 .
3. A copy of the Agreement for Purchase and Sale of said
property may be obtained by contacting
, whose address is
, and whose telephone number is .
Dated this day of , 19 .
FURTHER AFFIANT SAYETH NOT.
Signed, sealed and delivered in the presence of:
Sworn to and subscribed before me this day of , 19 .
(SEAL) State of
My Commission Expires:
This instrument was prepared by: