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Copyright ©2005 Greater Illinois Title Company. All Rights Reserved. http://gitc.com/forms/
Compliments of Greater Illinois Title Company; for Internal and External Use.
Universal Doc Ref: GP_IEF0010-20050803-R1-1
AFFIDAVIT
OF NO PROCEEDS
Date: ________________________________________
To Greater Illinois Title Company / Chicago Title Insurance Company:
Please be advised that I/we have freely quit claimed any and all interest that I/we may have had in the property
commonly known as ____________________________________________________________________________ ,
and I/we state that I/we have not received nor will I/we receive any other consideration than stated on said quit claim
deed.
I make this affidavit in order to induce Greater Illinois Title Company to issue its Loan Policy to
____________________________________________________________________ free and clear of any liens or
judgments.
________________________________________
Signature
________________________________________
Signature
Subscribed and sworn to before me this ___________________________ day of _____________________ , 20___.
__________________________________________
Notary Public
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