Affidavit of Ownership Terrill Bey

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AFFIDAVIT OF OWNERSHIP OF

REGISTERED SECURITIES AND CERTIFICATE OF TITLE

STATE OF KANSAS §
§
§
County of Sedgwick §

“Equality is Paramount and Mandatory by Law”


To whom all presents shall come, Greeting: I, Al Terrill Ibn Terrill Florentius Bey
d/b/a ™ TERRILL JAMES FLORENCE II©®™

AFFIANT (hereinafter referred to as Owner) being duly sworn, declare and state
that I am of full age and legally competent and have firsthand knowledge of the
facts stated herein and believe these facts to be true to the best of my knowledge. I
also depose and say that I am the record owner and holder of the Registered
Certificated Security/Bond No. 115-73001476 whose name also appears on face of
instrument as TERRILL JAMES FLORENCE II. The (TRUST/ESTATE) is
by reference to the Official Certificate of TITLE. (Title), recorded and filed dated
January 24, 1973, in the office of the Clerk, County of Sedgwick, State of Kansas,
as the same appears to be held for safekeeping by state registrar. Said Certificate
of Title Instrument and further describes the same property that mentioned
Certificate of Title and all financial assets, accounts, registered securities,
entitlements, real estate and other personal property that are associated with said
Trust/Estate further described in the attached UCC Financing Statement under
Notice of Claim. Affiant (Owner) is the one legally entitled and authorized to act,
appoint, assign, conveyed, and/or execute said Trust/Estate no other parties are
allowed without consent from Registered/Record Owner. SO ORDERED.

In Witness whereof; said Affiant (owner) has hereunto set his hand and seal done

Dated this _______ day of ____________________, 2019

BY:

TERRILL JAMES FLORENCE II Recording as Deed of Trust


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WITNESS:
I declare that AL TERRILL IBN TERRILL FLORENTIUS BEY dba TERRILL
JAMES FLORENCE II©® is personally known to me ( or has proven to me on the
basis of convincing evidence) to be the Affiant (owner) that he signed or acknowledged
this “affidavit of ownership” of Registered & Certificate of Title in presence, or he
appears to be of sound mind and under no duress or undue pressure and or influence.

BY: ________________________________________

PRINT NAME: ________________________ DATE:_____________________

ACKNOWLEDGMENT BY NOTARY PUBLIC

On this date the men and/or women named above, in their stated capacity, personally
appeared before me and acknowledged that this instrument attached hereto was signed
as a free and voluntary act and deed for the uses and purposes stated therein.

Date: _________________________

By: ____________________________ Notary Public

Recording as Deed of Trust


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