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AFFIDAVIT DISCLOSING INTEREST IN PROPERTY

STATE OF TEXAS
COUNTY OF _____________________

I, ___________________________________ (name of affiant), (check one of the following) as an officer of the Texas School for the Blind and Visually Impaired, make this affidavit and hereby on oath state the following:

1.   I have a legal or equitable interest in property to be acquired with public funds, either by purchase or condemnation.  The property is fully described as

_________________________________________________________________________________.

2.   The nature, type, and amount of interest, including percentage of ownership, I have in the property is:

_________________________________________________________________________________.

3.   I acquired my interest in the property on ___________________________ (date).     

4.   The information in this affidavit is personally known by me to be correct and contains the information required by Section 553.002, Government Code.

 

Signed _____________________________ (date)

Signature of affiant ___________________________________________________

Office or public title __________________________________________________

STATE OF TEXAS
COUNTY OF ________________________________

 

 Sworn to and subscribed before me on this _______ day of __________________ (month), ___________ (year)

 

 

___________________________________, Notary Public, State of Texas  

 

NOTE:  This affidavit must be filed with the county clerk(s) of the county or counties in which the property is located and of the county in which the public servant resides within ten days before the date on which the property is to be acquired by purchase or condemnation.

Adopted: 1/28/05
Amended:\ 9/20/13
Reviewed: