COMMONWEALTH OF PENNSYLVANIA :
SS.
COUNTY OF LEHIGH:
We, the undersigned, the owners of this plot of land located in Hanover Township, Lehigh County, Pennsylvania, being duly sworn according to law, depose and say that we are the sole owners of said property, that we are in peaceful possession of same, that there are no lawsuits pending affecting or relating to the title to said land, and that the facts set forth herein are true and correct.
____________________________
(Owner)
(Owner)
____________________________
(Owner)
(Owner)
Sworn to and subscribed before me this ____ day of 20__.
____________________________
Notary Public
Notary Public
My Commission Expires: