AFFIDAVIT OF TITLE
STATE OF NEW JERSEY,
COUNTY OF _________________________ SS.:
______________________________________________________ say(s) under oath:
1. Representations.
If only one person signs this affidavit, the words “we”, “us”, and “our” shall mean
“I”, “me” and “my”. The statements in this affidavit are true to the best of our knowledge, information and
belief.
2. Name, Age and Residence.
We have never changed our names or used any other names. We are
citizens of the Unites State and at least 18 years old. We live at:
_____________________________________________
_____________________________________________
_____________________________________________
3. Ownership and Possession. We are the only owners of property located at:
__________________________________________________________________________________
called “this property”. We are now applying to the Pinelands Development Credit Bank to sever Pinelands
Development Credits from this property. We have owned this property since ___________. Since then, no
one has questioned our ownership or right to possession. Except for the proposed Deed restriction in favor of
the State of New Jersey Department of Environmental Protection that is part of this application, we have not
signed any contracts to sell this property nor have we given anyone else rights concerning purchase of this
property.
4. Liens or Encumbrances.
We have not allowed any interests (legal rights) to be created which affects
our ownership or use of this property. No other persons have legal rights in this property, except the rights of
utility companies to use this property along the road or for purpose of serving this property. There are no
pending lawsuits or judgments against us or other legal obligations which may be enforced against this
property. No bankruptcy or insolvency proceedings have been started by or against us. We have never been
declared bankrupt. All liens (legal claims, such as judgments) listed on the attached judgment or lien search
are not against us, but against others with similar names.
5. Marital History
(check where appropriate)
We are (I am) not married. We are a legal registered Domestic Partnership in _______
STATE
We are married to each other. We were married on ______________________________
The maiden name of _________________ was __________________________________
WIFE’S MARRIED NAME WIFE’S MAIDEN NAME
This property has never been occupied as the principal matrimonial residence of any of us.
Our complete marital history is listed below number 6. this includes all marriages not
listed above, and any pending matrimonial actions. We include how each marriage ended.
We have attached copies of any death certificates and judgments for divorce or annulment
including provisions in these judgments which relate to this property.
6. Exceptions and Additions. The following is a complete list of exceptions and additions to the above
statements. This includes all liens or mortgages which are not paid off. PLEASE ATTACH
ADDITIONAL PAGES AND/OR DOCUMENTS AS NECESSARY AND LABLE “EXHIBIT A”.
7. Reliance.
We make this affidavit in order to induce the PDC Bank to issue our allocation of
Pinelands Development Credit(s). We are aware that the PDC Bank relies on our truthfulness and the
statement made in this affidavit.
Signed and sworn to before me on _________________________________________
OWNER’S SIGNATURE
____________________________________ ___________________________________________________
DATE CO-OWNER’S SIGNATURE
____________________________________
NOTARY’S SIGNATURE, COMMISSION & SEAL 8/6/2015
