APPENDIX C: CERTIFICATE OF OWNERSHIP

State of Indiana      )
            ) SS:
County of Hancock      )

We, _________________ and ___________________his wife, _____________________ do hereby certify that we are the owners of the property described in the above caption and that as such owners we have caused the said above described property to be surveyed and subdivided as shown on the herein drawn plat, as our own free and voluntary act and deed.

                                    ________________________ (Seal)

                                    ________________________ (Seal)

State of Indiana      )
            ) SS:
County of Hancock      )

I, ________________________ , a Notary Public in and for said County and State, do hereby certify that _________________________ and _____________________ , his wife, personally known to me to be the same persons whose names are subscribed to the above certificate appeared before me this day in person 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_______________________________

A.D., 20___.

                                    ________________________ (Seal)

ADDITIONAL CERTIFICATION IF PROPERTY UNDER TRUSTEESHIP

The undersigned as Trustee under the provision of a deed or deeds in trust duly recorded and delivered to said Trustee in pursuance of a Trust Agreement date ______________________ and know as Trust No. _____________________________ as owner cause this subdivision and plat thereon to be made.

                                 By _________________________________________

                                 Attest _______________________________________

State of Indiana      )
            ) SS:
County of Hancock      )

_____________________________, a Notary Public in and for said County and State, do hereby certify that ___________________________ and _____________________________________________, of said ___________________________, who are personally known to me to be the same persons whose names are subscribed to the foregoing instrument as such ____________________________________ respectively appeared before me this day in person and acknowledged that they signed and delivered the said instrument of their free and voluntary act of said ____________________________________ did also then and there acknowledged that he as custodian of the Corporate Seal of said trustee did affix the said seal of the said trustee to said instrument as his free and voluntary act and as the free and voluntary act of said trustee for the uses and purpose therein set forth.

Given under my hand and notarial seal this __________ day of ______________________ A.D., 20___.

_____________________________________

Notary Public

(Ord. 1993-9G, passed 9-27-93)