Title Insurance Affidavit.pdfOLD REPUBLIC
NATIONAL TITLE INSURANCE COMPANY
Title Insurance Affidavit
TO: Old Republic National Title Insurance Company ("Title Insurance Company")
PROPERTY ADDRESS: Sylvester Road, Northampton, MA 01060
The undersigned owner of the above property does under oath depose and say that:
1. There is no person to whom a debt is due for labor or materials furnished in the erection,
alteration, repair or removal of a building or structure upon said property or improvement or
alteration to said property by virtue of an agreement with, or by the consent of the
undersigned, or of a person having authority from or rightfully acting for the undersigned in
procuring or furnishing such labor or materials for work actually performed during the past
93 days, including the date hereof.
2. At the date hereof there are no tenants or other parties who are in possession or who have
the right to be in possession of said property (except as shown below):
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3. To the best of the undersigned’s knowledge and belief, neither the property nor any use
thereof is in violation of restrictive covenants, if any, affecting the property.
4. All bills for municipal light plant service charges, which could become liens, have been
paid.
5. No security interest which secures payment or the performance of any obligation has been
given by the undersigned, or to the knowledge of the undersigned, in any personal property
or fixtures placed upon or installed in said property.
6. The only outstanding mortgage lien(s) against said property is (are) to and it is/they are to
be paid off from the proceeds of the sale.
This affidavit is made for the purpose of inducing the Title Insurance Company to insure the
mortgage on said property and the undersigned agrees to indemnify and hold harmless the Title
Insurance Company from any loss resulting from reliance upon the truth and accuracy of the
statements contained herein.
Signed under the penalties of perjury this 21st day of March, 2023.
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Barbara K. Pomeroy