AFFIDAVIT AND MEMORANDUM OF
AGREEMENT CONCERNING REAL ESTATE
State of _________________ )
County of _______________ ) ss:
BEFORE ME, the undersigned authority, on this day personally appeared
_______________________________________, who being first duly sworn, deposes
and says that an agreement for the Purchase and Sale of the real property described as
(enter legal description below):
was entered into by and between the undersigned Affiant, as Buyer, and __________
___________________________________________, as Seller, on the _________ day of
A copy of the agreement for purchase and sale of said real property may be
obtained by contacting _____________________________________, whose mailing
address is __________________________________________________________, and
whose telephone number is ______________________.
Dated this __________ day of ______________________, 20______.
FURTHER AFFIANT SAYETH NOT.
On ___________, 20 ___ , before me, _________________, a notary public in and for
said state personally appeared _____________________________, personally known to
me (or proved to me based upon satisfactory evidence) to be the person(s) whose name(s)
are subscribed to the within instrument and acknowledged that (s)he/they executed the
same in his/her/their signature on the instrument the person(s) or entity on behalf of
which they acted, executed the instrument.
Witness my hand and official seal
My commission expires ________________