Company Letterhead
{{company_name}}
{{company_address}}
Phone: {{phone}}
Email: {{email}}
Website: {{website}}
ESTOPPEL AFFIDAVIT OF MORTGAGOR
STATE OF {{state}}
COUNTY OF {{county}}
Introduction
BEFORE ME, the undersigned authority, on this {{day}} day of {{month}}, {{year}}, personally appeared {{mortgagor_name}}, residing at {{mortgagor_address}}, (hereinafter referred to as "Affiant"), who, being by me first duly sworn, deposes and says:
Mortgage Details
1. That Affiant is the mortgagor of that certain mortgage executed on {{mortgage_execution_date}} by and between {{mortgagor_name}} as Mortgagor and {{mortgagee_name}} as Mortgagee, secured by the property located at {{property_address}} (hereinafter referred to as the "Property").
2. That the original principal amount of said mortgage was {{currency}}{{original_principal_amount}}.
Current Status of Mortgage
3. That the current outstanding principal balance due on the mortgage as of the date of this affidavit is {{currency}}{{outstanding_principal_balance}}.
4. That all payments due under the terms of said mortgage have been made in a timely manner up to and including the payment due on {{last_payment_date}}.
5. That there are no defaults, breaches, or violations of any kind under the terms and conditions of the mortgage or the promissory note it secures.
6. That there are no offsets, defenses, counterclaims, or claims of any nature whatsoever against the mortgagee, {{mortgagee_name}}, or its assigns, with respect to the mortgage or the indebtedness secured thereby.
7. That no modifications, amendments, or extensions have been made to the mortgage or the promissory note, other than those previously disclosed in writing to {{relevant_party}} on {{disclosure_date}} (if applicable).
8. That Affiant has received no notice of any kind asserting any default under the mortgage or promissory note.
Purpose of Affidavit
9. This affidavit is made for the purpose of inducing {{new_lender_or_purchaser}}, located at {{new_lender_or_purchaser_address}}, to {{action_being_induced_e.g._purchase_the_property_or_provide_new_financing}} relying upon the truthfulness of the statements contained herein.
Acknowledgement
Affiant hereby warrants the truthfulness of the foregoing statements and makes this affidavit voluntarily and without coercion.
Signature Block
_____________________________
{{mortgagor_name}} (Affiant)
SWORN TO AND SUBSCRIBED before me this {{day}} day of {{month}}, {{year}}.
_____________________________
Notary Public
My Commission Expires: {{commission_expiration_date}}
Notary Seal:
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