Laserfiche WebLink
PRE-CONSTRUCTION AFFIDAVIT <br />BY OWNER <br />STATE OF T-ebr.'_ s I -a <br />SS: <br />COUNTY OF <br />i/th David Z. Lo�atz i�'nd 2�1!'(,Ie <br />The undersigned being first duly sworn depose And say—that h they, <br />il'. !-Js aicl <br />as s; oar e o• mare the owner of premises <br />known ',T C�' 'r- 7 i i i 31oclk One (1) in ",ddition to the _gi_t­ of <br />7 A <br />.71 T 'I" <br />which - 4 4 <br />hich has 'been mortgage 1 to secure a construction <br />(Assn. or Coop. Bank) <br />loan for the erection of certain buildings on said premises, and that to his/their knowledge no work has been started <br />on said premises, either materials delivered or fabricated for or labor done to this date. <br />Affiant further states that there are no judgements against him/them in any court remaining unpaid; that there <br />are no suits pending against him/them in any court; and that the undersigned has not authorized or permitted any- <br />one in his/their behalf to execute any instrument or make any agreement affecting or likely to affect the title or to be <br />a lien upon said lands within the last sixty (60) days and that there are no liens or claims that might become liens <br />"Aapo�' �Mdjjjnds except the following: <br />Zr%iffl'At,.'saith naught. <br />.: —A <br />0 t'l r'J! I Owner <br />P R Z:� <br />Owner <br />`­ ' t d subscribed before me this 5 'o h 19 <br />o�� -an da), <br />Notatublic <br />es /�Cl_ / <br />My commissi on expir <br />BY CONTRACTOR <br />STATE OF 2 1 <br />ss: <br />COUNTY OF <br />The undersigned being first duly sworn depose and say— that We/they, t,", 0 L 0 t <br />7/are the general contractor <br />having a contract to construct a n the premises <br />knownas (7) in 3'_Oc Cne in 2el-Air <br />r <br />which; hasp been mortgaged to to secure a construction <br />"Y' U, 1 0 (Assn. or Coop. Bank) <br />of <br />e'ierection of buildings on said premises. Affiant further states that he has furnished a true itemizatio n, <br />'cf ri costs at this time, same to be used for labor and materials on said premises. <br />sail" o Affi 11k fnaer states that no labor or materials, prefabrica d or otherwise ave been use or par for <br />to this date. <br />ant saith naught. <br />Contractor <br />SW6i'n' to and subscribed before me this 15th -day of li'Ll 1959 <br />�tay_Public. <br />led for record May 1 o 9j 9 at 11:20 <br />My commissic <br />M <br />Fom CMA A . . Register of Deeds, Hall County, Nebraska <br />