EXHIBIT A
IN THE CIRCUIT COURT OF THE
ELEVENTH JUDICIAL CIRCUIT, IN AND
FOR MIAMI-DADE COUNTY, FLORIDA
Plaintiff,
vs.
CIRCUIT CIVIL DIVISION
Defendant.
___________________________________/
CASE NO.:
AFFIDAVIT OF VACANCY
Before me, the undersigned authority, personally appeared _________________,
who, after first being duly sworn, deposes and says under the penalties of perjury:
1.
Affiant is not a party to this action;
2.
Affiant is over the age of 18 years;
3.
Affiant was assigned to determine if this property is vacant due to:
_____________ returned mail on _________________________ (date)
_____________ service return indicating vacant _____________ (date)
_____________ property management information ___________(date)
_____________ communication from borrower ______________(date)
_____________ Other (describe) _________________________(date)
4.
On ___________, 2010 at _________ A.M./P.M., I personally inspected
the real property located at:
_________________________________________ and the property is
currently vacant.
5.
Confirmation as to the vacancy was supported by:
(a) Lack of activity, including:
______ Empty home, without furnishings
______ No vehicles
______ Evidence of returned mail
______ No lights in the home after dark
______ Lack of maintenance, including overgrown lawn
______ Other: _________________________________
FURTHER AFFIANT SAYETH NAUGHT
_____________________________
STATE OF FLORIDA
COUNTY OF DADE
Sworn to and subscribed before me, this _______day of __________, 201_.
_________________________________
Notary Public, State of FLORIDA
Commissioned Name of Notary Public _________________________
Personally known ____ or produced identification ___________________________
Type of Identification Produced __________________________________________
Revised: 4/26/11
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