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200007363 THAT AFFIANT KNOWS OF HIS OWN KNOWLEDGE, AND SO STATES THAT EACH AND ALL THE OBLIGATIONS AGAINST THE MARITAL COMMUNITY AND AGAINST THE ESTATE OF . SAID DECEDENT (INCLUDING BUT NOT LIMITED TO ALL THE DEBTS OF DECEDENT; ALL THE EXPENSES OF DECEDENT'S LAST ILLNESS, FUNERAL AND BURIAL; PROMISSORY NOTES INSTALLMENTS CONTRACTS AND MORTGAGES; AND STATE AND FEDERAL SUCCESSION TAXES UPON DECEDENT'S ESTATE, IF APPLICABLE) HAVE BEEN PAID IN FULL, EXCEPT AS FOLLOWS: THAT DECEDENT LEFT A WILL, LEAVING CURTIS D. STACEY AS EXECUTOR OF THE ESTATE AND ALSO A SUCCESSOR TRUSTEE UNDER DECLARATION OF TRUST DATED DECEMER 29, 1993. AFFIANT STATES THAT THE TOTAL VALUE OF DECEDENTS ESTATES IS VALUED AT $24,000.00. THAT THIS AFFIDAVIT IS MADE SOLELY TO INDUCE TICOR TITLE INSURANCE COMPANY, HEREINAFTER CALLED "COMPANY ", TO INSURE TITLE TO REAL PROPERTY COVERED BY THE COMPANY'S ORDER NO. 00 -4049 SET FORTH ABOVE, IN WHICH DECEDENT HELD AN INTEREST AT THE TIME OF HIS DEATH. AFFIANT URGES COMPANY TO ISSUE ITS POLICY OF TITLE INSURANCE IN FULL RELIANCE UPON THE REPRESENTATIONS CONTAINED HEREIN. AFFIANT FURTHER AGREES TO INDEMNIFY AND HOLD HARMLESS TICOR TITLE INSURANCE COMPANY HARMLESS FROM LOSS OR DAMAGE WHICH MAY BE SUFFERED AS A RESULT OF SAID RELIANCE. DATED -� 2000 l� CURTIS D. STACEY 1705 Walnut St. Port Townsend, WA. 98368 360) 379 -2995 STATE OF WASHINGTON COUNTY OF JEFFERSON ON THIS DAY PERSONALLY APPEARED BEFORE ME CURTIS D. STACEY TO ME KNOWN TO BE THE INDIVIDUAL DESCRIBED IN AND WHO EXECUTED THE WITHIN AND FOREGOING INSTRUMENT, AND ACKNOWLEDGED THAT CURTIS D. STACEY SIGNED THE SAME AS HIS FREE AND VOLUNTARY ACT AND DEED- kks'SES AND PURPOSES THEREIN MEN ED. P� �1t1� MISS /p' 1� G[ D H ND AND OFf�CIElaI3tAm,'VjI;0h DAY OF AMusi' ,2000 �" 5: cn i NOT LIC O THE STATE G�1 ,9g A* -TOv. RESIDI G AT ov4r)5er7c( �l ' MY APPOINTMENT EXPIRES