AFFIDAVIT OF SIMILAR NAME
STATE OF NEW JERSEY } ss:_____________________
COUNTY OF _______________________
BEFORE ME, the undersigned authority, a Notary Public in and for the State of _____________________, County of
____________________, on this day personally appeared _______________________________ to me well known to be a
credible person and who, after being by me duly sworn on his/her oath stated:
1. "That my full name is _____________________________________________________ . I reside at
____________________________________________, in the Municipality of __________________, County of
________________________ and State of ______________________.
I own the following property being described as follows:
SEE ATTACHED SCHEDULE A LEGAL DESCRIPTION.
2. There appears of record the following matters shown in the Superior Court of New Jersey and/or the County
Clerk's/Register's Office:
3. That I am not the same person as the Judgment Debtor in any of the foregoing judgment proceedings.
4. That I do not have any outstanding unpaid Judgments, Federal Tax Liens, or State Tax Liens appearing of record against
me in the County(ies) of ________________________________________________________, or State of New Jersey.
5. My Driver's License No. is _____________________________.
My Social Security No. is _______________________.
My date of birth is ___________________________.
I am making this statement under oath in order to induce ___________________________________ to issue its title
policy covering the above described property without exception to said Abstracts of Judgment and/or Tax Liens.
EXECUTED THIS ___________ DAY OF ___________________, 20_____.
_________________________________________________________
SUBSCRIBED AND SWORN TO BEFORE ME, ON THIS ______ DAY OF ________________20____.
STATE OF ______________________
COUNTY OF ____________________ } ss
BEFORE ME, THE UNDERSIGNED AUTHORITY, ON THIS DAY PERSONALLY _____________________, KNOWN TO ME TO BE T HE
PERSON WHOSE NAME IS SUBSCRIBED TO IN THE FOREGOING INSTRUMENT, AND ACKNOWLEDGED TO ME THAT HE/SHE
EXECUTED THE SAME FOR THE PURPOSES AND CONSIDERATION THEREIN EXPRESSED.
GIVEN UNDER MY HAND SEAL OF OFFICE THIS ___________ DAY OF ________________________________.
________________________________________________________
NOTARY PUBLIC IN AND FOR THE STATE OF
MY COMMISSION EXPIRES:
