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OWNER'S AFFIDAVIT <br /> STATE OF California } <br /> COUNTY OF Orange } ss <br /> , individually and, if applicable, as the on behalf of City of Santa Ana (company name of the Property as <br /> defined below) ("Declarant") is of legal age, being first duly sworn, deposes and states under penalty of perjury <br /> under the laws of the State of . <br /> 1. That certain real property (the "Property") as described in that certain Commitment for Title <br /> Insurance/Preliminary Report No. OSA-7376481 dated as of ("Commitment/Report") issued by or on behalf <br /> of First American Title Company("First American Title Company") is improved by the following (check all <br /> that apply): <br /> ❑ Single family residences ❑ One-to-four family residences <br /> ❑ Apartment building ❑ Office building <br /> ❑ Commercial building ❑ Combination office/commercial building <br /> ❑ Industrial building ❑ Vacant Land <br /> f] Other: Commercial/agricultural <br /> 2. WORK OF IMPROVEMENT: Pfease respond to A, 8 and C below: <br /> A. For the period of 90-days prior to the date of this Affidavit, no repairs or work of improvement has been <br /> conducted on, nor any materials supplied to, the Property except as follows: <br /> None <br /> (Enter"None" if such is true.) <br /> If you have described any work of improvement above, please complete the following: <br /> ❑ Started on , 20_��__ <br /> ❑ Completed on 20 <br /> ❑ Will be completed on , 20 <br /> Page 1 <br />