Fillable AFFIDAVIT Signature Printed Name (Greater Illinois Title Company)

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AFFIDAVIT Signature Printed Name (Greater Illinois Title Company)

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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_IEF0019-20050803-R1-1
AFFIDAVIT
OF NAME AND SIGNATURE
My Name is ___________________________________ and I do state that I am also known by the following names:
__________________________________________
Printed Name
__________________________________________
Printed Name
__________________________________________
Signature
__________________________________________
Signature
And that all are examples of my legal signature. I give this affidavit to Greater Illinois Title Company to induce it to
insure the transaction in GIT File No. __________________________________
_________________________________________
Signature
_________________________________________
Date
The foregoing instrument was signed before me this _______ day of __________________, 20___, by ___________
__________________________________________ who did provide _______________________ as identification.
__________________________________________
Notary Public
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AFFIDAVIT Signature Printed Name (Greater Illinois Title Company)

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Completed 13 August 2021

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