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_____ State }

_____ County }ss.


Affidavit of Title
(Statement of Beneficial Ownership)

Doe: John - Alex, hereinafter the Affiant, whose domicile is 123 Any Street, Jefferson City, Ohio State, being duly
sworn, states that I am familiar with the facts recited:

1. Whereas the affiant obtained the age of majority on January 1, 1997; and

2. Affiant is owner of the legal and equitable estate, which includes the herein described land(s) situated in Hamilton
County, Ohio State, evidenced by the Statement(s), and Certificate of Live Birth records attached to this claim as
Exhibit A, including but not limited to :
(1) The affiants principle, original issue, and reversionary interest in financial instruments, and transactions
secured by or loaned from the Estate;
(2) The human body of clay and earth, (LANDS) including the mineral rights, silicates, sodium, potassium,
magnesium, calcium, iron, phosphorus, sulfur, chlorine, iodine, oxygen, carbon, hydrogen, and nitrogen, all
leaseholds and royalties regarding the land, including the infant, child, and adult of the Estate.
(3) The entitlement to the labor, leased, sold, taken, or otherwise used to secure capital, arising out of the Estate
at any time for every undertakings or agreement by which the estate became a party.

3. Whereas the Affiants title to the encumbrances, liens, and interest noted by the memorial underwritten or endorsed
hereon; and subject to the rights or encumbrances subsisting, as provided in Laws of the United States of America
and the Treaties.

4. Whereas this is an affidavit of an affiant who states that he/she(your name here) is familiar with the facts recited,
the party named in said birth certificate is the same party as one of the owners named in said certificate of title; and
that thereafter the Registrar of Titles shall treat said registered owner as having attained the age of the majority at a
date 18 years after the date of birth shown by said certificate

WITNESSETH: By virtue of the power vested in me, through this deed, I transfer and assign all right, title, and interests
to the lands, tenements, and hereditaments in Hamilton County or whatsoever and wheresoever situated to vest in Doe,
John- Alex, Trustee Under Declaration of Trust Dated X-XX-XXXX (birth date).

I declare under penalty of perjury under the laws of the United States of America that the foregoing is true and correct.
Executed this day of , 2017 .

By:Doe:El,John,Alex

We the undersigned Witnesses hereby stand and attest that the fore-signed, signed this document on the date
listed supra, of their own free will, as witnessed by our signatures below:

Johnson El: Mark- Wayne Hanson El: Tamika- Loraine

This instrument prepared by: VOID WHERE PROHIBITED BY LAW


John Alex Doe Trust
State of ____Texas___________

County of ____Harris____________

SUBSCRIBED AND AFFIRMED, before me on this ________ day of __________________________,___________


by _____________________________________.

_______________________________________________
Notary Public Seal:

My Commission expires: __________________________

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