Operating Railroad Affidavit Route Section County Job No. Parcel No. P.I.N. Catalog No. Contract No. State of ) ) ss. County of ) I, , being first duly sworn upon oath state(s) as follows: 1. That I am the (title) of (corporate name) and have personal knowledge of the fact averred herein. 2. There are no parties in possession of any portion of the following described premises other than the grantor and . SEE ATTACHED EXHIBIT “A” 3. This affidavit is made in part as a requirement of State law, and to provide factual representation as a basis for the state of to accept a of that above described premises from the record owners thereof. 4. There are no encroachments, overlaps, or boundary line disputes involving the aforesaid premises to the knowledge of the undersigned. 5. The owners of more than 7.5% of the income and capital interests in the corporation are . (Insert Names or None) Signature Print Name and Title
Operating Railroad Affidavit Route Section County Job No. Parcel No. P.I.N. Catalog No. Contract No. State of ) ) ss. County of ) I, , being first duly sworn upon oath state(s) as follows: 1. That I am the (title) of (corporate name) and have personal knowledge of the fact averred herein. 2. There are no parties in possession of any portion of the following described premises other than the grantor and . SEE ATTACHED EXHIBIT “A” 3. This affidavit is made in part as a requirement of State law, and to provide factual representation as a basis for the state of to accept a of that above described premises from the record owners thereof. 4. There are no encroachments, overlaps, or boundary line disputes involving the aforesaid premises to the knowledge of the undersigned. 5. The owners of more than 7.5% of the income and capital interests in the corporation are . (Insert Names or None) Signature Print Name and Title