We, the undersigned, do hereby certify that we are the owners of and the only person having any right, title or interest in the land shown on the annexed plat of , and that the plat represents a correct survey of the above described property made with our consent, and that we hereby dedicate to the public use all the streets as shown on the annexed plat; that the easements as shown on the annexed plat are created for the installation and maintenance of public utilities; that we hereby guarantee a clear title to all lands so dedicated from ourselves, our heirs or assigns forever and have caused the same to be released from all encumbrances so that the title is clear, except as shown in the abstractor’s certificate.
RESTRICTIONS: (if any, follow here)
Witness hand this day of , 20 .
(ACKNOWLEDGMENT)