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FILE NO. NCS-831649A-MAD AFFIDAVIT OF <br /> CORRECTION KRISTI CHLEBOWSKI <br /> (TYPE OR PRINT CLEARLY IN BLACK OR RED INK) DANE COUNTY <br /> REGISTER OF DEEDS <br /> AFFIANT, hereby swears or affirms that a certain document which DOCUMENT # <br /> was titled as follows: Certified Survey Map No. 14570, recorded on the 5347834 <br /> 2nd day of August, 2017 in volume 100, Page/Image 302 as Document 08/08/2017 2:03 PM <br /> number 5346133,and was recorded in Dane County, State of Trans. Fee: <br /> Wisconsin, contained the following error(if more space is needed, Exempt#: <br /> please attach addendum): Rec. Fee: 30.00 <br /> Pages: 11 <br /> Title representative inadvertently failed to complete blanks for recording <br /> information on pages 1, 3, and 4. <br /> RETURN TO: <br /> First American Title Co— NCS <br /> 10 W. Mifflin St., Ste. 302 <br /> Madison, WI 53703 <br /> AFFIANT makes this Affidavit for the purpose of correcting the above Tax Parcel No. <br /> document as follows (if more space is needed, please attach 225/0609-031-1753-2 <br /> addendum): <br /> The blanks should be filled is an in the copy attached and on the <br /> original CSM, page 2. <br /> AFFIANT is the(check one): <br /> Drafter of the document being corrected <br /> Owner of the property described in to document being <br /> corrected <br /> X Other(explain: Title Representative) <br /> The copy of original document is attached to this Affidavit. <br /> IN/ <br /> Dated: ZO\ Signed: �� ► `•:_, ,■ <br /> COr� l7 W ,1 C_ 1 <br /> *Names of persons signing in any capacity should be typed or printed below their signatures. <br /> Y .0s1)?ajN C 1 °�`'� <br /> Page 1 of 3 <br />