I, , do hereby certify that I am the duly elected, qualified and acting County Treasurer of County, State of Oklahoma. That the tax records of the County show all taxes are paid for the year and prior years on the land shown on the annexed plat of Addition in County, Oklahoma; that the required statutory security has been deposited in the office of the County Treasurer, guaranteeing payment of the current year’s taxes.
In witness whereof, the County Treasurer has caused the instrument to be executed at , Oklahoma on this day of , 20 .
County Treasurer