CERTIFICATE OF OWNERSHIP
STATE OF INDIANA )
) SS:
COUNTY OF MARSHALL )
I or (We), ____________and___________, do hereby certify that I am (or we are) the owners of the property described in the above caption and have caused the above described property to be surveyed and subdivided as shown on said plat as our own free and voluntary act and deed.
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Signature
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Signature
Before me, a Notary Public in and for said County and State, personally appeared _______________________________ and ______________________ and acknowledged that they signed the above certificate as their own free and voluntary act and deed for the uses and purposes therein set forth.
Given under my hand and notarial seal this ______________ day of __________,_____.
My Commission Expires: __________________________________
_____________________ Notary Public
Resident of _______________ County, IN.