| STATE OF (enter State of notary) | ) |
| ) ss AFFIDAVIT OF CORRECTION | |
| COUNTY OF (enter County of notary) | ) |
I, (
enter surveyor's name), P.L.S. No. (enter registration number), being duly sworn, depose and say that I am the surveyor who surveyed the property as depicted and filed on survey number (enter survey number), Yamhill County Survey Records.The following correction(s) to said survey (is/are) necessary and (is/are) as follows:
1.
2.
The present fee owner(s) of the property materially affected by this affidavit (is/are) as follows:
1.
2.
| (legible stamp & signature of surveyor) | (enter business name) _________________ |
| Expiration date: | (enter business address) _______________ |
| (enter date), 200 | |
| NOTARY CERTIFICATE |
Signed and sworn to before me on (
enter date), 200X by (enter name of surveyor).(
enter signature of notary)_____________________| My commission expires (enter expiration date). | (legible stamp of notary) |
STATE OF OREGON |
) |
| ) ss | |
| COUNTY OF YAMHILL | ) |
I, Dan E. Linscheid, Yamhill County Surveyor, do hereby certify that said Affidavit of Correction for survey number (
enter survey number) has been examined by me and that it complies with O.R.S. 209.| Approved _________________________, 200X. | |
| ______________________________________ | |
| Dan E. Linscheid, Yamhill County Surveyor |
Rev. 1/11/00