AFFIDAVIT OF NO CHANGE - SURVEY

STATE OF NEW YORK) COUNTY OF MONROE) ss:

_____________________ and _____________________, being duly sworn, depose and state:

1. We are the owners of the real property commonly known as ______________________,

________________, New York ____________ (the “Property”).
2. We were named as grantees in a certain deed recorded in the ______________ County Clerk’s
Office as follows: Warranty Deed from _____________________ to _____________________
and _____________________, dated _____________________ and recorded
_____________________ in the ______________ County Clerk’s Office in Liber
______________ of Deeds, page ______________.
3. Our attention has been called to the following instrument survey map prepared by
_____________________, L.S.: Survey Map dated _____________________, File No.
_____________________ (the “Survey Map”).
4. We have examined the Survey Map and state that since that date thereof, no additions,
extensions, porches or garages have been added and the Property is in the same condition as
when the Survey Map was made.
5. We further state there are no encroachments on the Property, such as common driveways,
pathways, and fences, improvements or structures on adjoining premises, other than shown on
the Survey Map.
6. We recognize the boundary lines of record for the Property as indicated on the Survey Map and
no changes to the boundary lines have been made since we took ownership.
7. To the best of our knowledge and belief, no neighbor has disputed the location of any of the
Property’s boundary lines, as shown on the Survey Map.
8. To the best of our knowledge and belief, no person, or persons, presently claims any rights to
own or use the Property or any part thereof.
9. We give this Affidavit to induce _____________________ and _____________________ to
complete the purchase transaction for the Property.

_______________________________________________________

(Signature)