APPENDIX A: SUBDIVISION CERTIFICATES

OWNER’S CERTIFICATE

We, ______, the owners of (Description), have caused the said tract to be surveyed and subdivided in the manner shown, and said subdivision is to be hereinafter known as ___________. All rights-of-way and easements shown hereon are hereby dedicated to the use of the public forever including the release and waiver of the right of homestead under the homestead exemption laws of the State of Illinois.

______ (SEAL)

______ (SEAL)

NOTARY PUBLIC’S CERTIFICATE

STATE OF ILLINOIS)

            ss)

COUNTY OF    __)

I, _____________, a notary public in and for the County aforesaid, do hereby certify that (OWNERS) are personally known to me to be the same persons whose names are subscribed to the foregoing instrument, and that they appeared before me this date in person and acknowledged that they signed and sealed the same as their free and voluntary act for the uses and purposes therein set forth, including the release of waiver of the right of homestead.

Given under my hand and notarial seal

this _________ day of _______________

               (20)

COUNTY CLERK’S CERTIFICATE

I, ____________, County Clerk of Washington County, Illinois, do hereby certify that I find no unpaid or forfeited taxes against any of the real estate included with this plat.

_______________

County Clerk

______________ (SEAL)

(Date)

CERTIFICATE OF CITY OF NASHVILLE

I,____________, Mayor of the City of Nashville, Washington County, Illinois, do hereby certify that the plat shown hereon was duly presented to the City Council and accepted at a meeting of same held on ____________

                                                               (Date)

         _______________________

               (Mayor)

         (SEAL)

         ATTEST:

         _______________________

         (City Clerk)

SURVEYOR’S CERTIFICATE

I, __________, a currently registered Illinois land surveyor, do hereby certify that this plat is a correct representation of a survey made under my supervision at the request of __________________ for the purpose of subdividing the tract into lots as shown.

____________________________   

Illinois Registered Land Surveyor

____________________________

Registration Number

_______________________(SEAL)

   (Date)