Date ________________
BEFORE ME, the undersigned authority, on this day of , 20 , personally appeared , hereinafter called “individual”, an adult person who, being first duly sworn, said and deposed that the following statements are true and correct:
I, _______________, individual, currently reside at _________________________[physical address], and more fully described as follows: [legal description].
1. Individual is married to _____________________. Or (Individual is not married).
2. Individual conveyed to ____________________________ as grantee, hereinafter called “Entity”, the property located at [physical address], hereinafter called “the Property” and more fully described as follows: [legal description].
3. The conveyance deed was executed on ______ day of ___________, 20__, and the conveyance deed is titled _______________.
4. The name and address of the Entity Grantee is ____________________________________________________________________.
5. The parcel being conveyed is not contiguous to the parcel upon which the individual currently resides.
6. The parcel upon which the individual currently resides is not:
(A) located within the limits of a municipality or its extraterritorial jurisdiction or a platted subdivision; or
(B) served by police protection, paid or volunteer fire protection, and at least
three of the following services provided by a municipality or under contract to a municipality:
(i)electric;
(ii)natural gas;
(iii)sewer;
(iv)storm sewer; or
(v)water;
7. The individual or individual’s spouse owns a direct or indirect interest in the entity;
8. The individual executed the deed conveying the parcel to the entity;
9. The individual intends to vest title in the entity;
10. There are no written or oral agreements regarding a defeasance of the parcel upon the passage of time or occurrence or non-occurrence of any event;
11. The individual acknowledges that the individual will be estopped from claiming the conveyance to the entity is a sham or pretended sale, including a pretended sale under Section 50(c), Article XVI, Texas Constitution;
12. The individual acknowledges that they will be estopped from claiming they had not abandoned homestead rights, if any, in the parcel by executing the deed;
13. The individual understands that if the parcel is valued for ad valorem tax purposes as qualified open-space land, the entity must reapply in its own name by the applicable filing deadline;
14. The individual has had an opportunity to review the affidavit prior to the affidavit ’s execution; and
15. The individual consulted with an attorney before the affidavit ’s execution.
16. This affidavit is made under penalties of perjury.
__________________________________
Signature of Individual
Sworn, executed, and subscribed by _________, individual affiant, before me_____________, notary on ____ day of ______________________, 2023
Notary Public, State of Texas
__________________________________
Signature of Spouse
Sworn, executed, and subscribed by _________, spouse of individual, before me __________, notary on ____ day of ______________________, 2023
Notary Public, State of Texas
No guidelines are available for this form at this time.