“IT’S NOT ME” AFFIDAVIT
(to induce the title company to insure over a lien or judgment filed or docketed against an individual with a name similar to Affiant)

The undersigned hereby represents and warrants that he/she is not the same person against whom the following judgment(s)
and/or civil action(s) were filed:

The undersigned hereby requests Attorneys Title, a division of First American Title Insurance Company to issue its title insurance
policy or policies with reliance upon the above statements. As an inducement to issue the title insurance, the undersigned hereby
agrees to indemnify and hold harmless Attorneys Title from any and all claims, losses, costs, damages and expenses of any kind,
including attorney's fees, which Attorneys Title shall suffer or incur, or become liable for, under its title insurance policy or policies
to be issued, or any re-issue, renewal or extension thereof, or new policy at any time issued upon any interest in the real property
described below, arising directly or indirectly, out of or on account of the above referenced items or in connection with Attorneys
Title’s enforcement of its rights under this agreement.

The real property to be insured is located in                             County, North Carolina, and is more particularly described on
Exhibit A attached hereto and incorporated herein by reference.



Sworn to and subscribed before me this _______ day of _______________________, ______.

                                        NOTARY PUBLIC

My commission expires:______________________________


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