Buyer's Financing Contingency Affidavit
Reference Contract (No.____): Dated the___ day of , 20___, on Property located at: _______________________________________ ______________ _____ _________ ____________ Street Address
City
State
Zip Code
County
This document has legal consequences. If you do not understand it, consult your attorney.
STATE OF _________________________) ) SS. CITY/COUNTY OF __________________) NOTE TO BUYER: A separate Affidavit should be signed by EACH individual Buyer to whom it applies. If Buyer is not an individual (e.g., Buyer is a legal entity, such as a corporation, LLC, or partnership, a public officer or is signing on behalf of an individual Buyer as an attorney in fact), then Buyer should complete an appropriate alternate form of Buyer’s Financing Contingency Affidavit (see e.g., MSC-2010B).
Buyer’s Financing Contingency Affidavit COMES NOW (print name) _____________________________________________________________ (“Buyer”) and, first being duly sworn and on his/her oath, states the following with respect to the above Contract regarding the above Property: 1) I am a Buyer under the above Contract; and 2) I have done all things reasonably necessary to make a good faith effort to obtain financing as described in Section 5 of the Contract, but have been unable to do so; and 3) Despite request, I have been unable to obtain a Notice from my prospective lender of my inability to obtain financing as described in Section 5 of the Contract; and 4) Buyer declares the Contract terminated and requests return of the Earnest Money (Mutual Release form MSC-4050 attached). Under penalties of perjury, I declare that I have examined this Affidavit and to the best of my knowledge and belief it is true, correct and complete. Buyer
Date _____________________ (Notary Acknowledgment to be separately completed by qualified notary)
On this _________ day of _________________________________, ____, before me personally appeared________________________________________________________, to me known to be the person described in and who executed the foregoing instrument, and acknowledged that he/she executed the same as his/her free act and deed. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal in the __________ and State aforesaid, the day and year first above written. (SEAL) Notary Public My term expires ____________. Approved by legal counsel for use exclusively by members of the Missouri REALTORS®, Columbia, Missouri. No warranty is made or implied as to the legal validity or adequacy of this Affidavit, or that it complies in every respect with the law or that its use is appropriate for all situations. Local law, customs and practice, and differing circumstances in each transaction, may each dictate that amendments to this Affidavit be made. Effective 12/31/16 ©2016 Missouri REALTORS®
MSC-2010A
Page 1 of 1
City
State
Zip Code
County
This document has legal consequences. If you do not understand it, consult your attorney.
STATE OF _________________________) ) SS. CITY/COUNTY OF __________________) NOTE TO BUYER: A separate Affidavit should be signed by EACH individual Buyer to whom it applies. If Buyer is not an individual (e.g., Buyer is a legal entity, such as a corporation, LLC, or partnership, a public officer or is signing on behalf of an individual Buyer as an attorney in fact), then Buyer should complete an appropriate alternate form of Buyer’s Financing Contingency Affidavit (see e.g., MSC-2010B).
Buyer’s Financing Contingency Affidavit COMES NOW (print name) _____________________________________________________________ (“Buyer”) and, first being duly sworn and on his/her oath, states the following with respect to the above Contract regarding the above Property: 1) I am a Buyer under the above Contract; and 2) I have done all things reasonably necessary to make a good faith effort to obtain financing as described in Section 5 of the Contract, but have been unable to do so; and 3) Despite request, I have been unable to obtain a Notice from my prospective lender of my inability to obtain financing as described in Section 5 of the Contract; and 4) Buyer declares the Contract terminated and requests return of the Earnest Money (Mutual Release form MSC-4050 attached). Under penalties of perjury, I declare that I have examined this Affidavit and to the best of my knowledge and belief it is true, correct and complete. Buyer
Date _____________________ (Notary Acknowledgment to be separately completed by qualified notary)
On this _________ day of _________________________________, ____, before me personally appeared________________________________________________________, to me known to be the person described in and who executed the foregoing instrument, and acknowledged that he/she executed the same as his/her free act and deed. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal in the __________ and State aforesaid, the day and year first above written. (SEAL) Notary Public My term expires ____________. Approved by legal counsel for use exclusively by members of the Missouri REALTORS®, Columbia, Missouri. No warranty is made or implied as to the legal validity or adequacy of this Affidavit, or that it complies in every respect with the law or that its use is appropriate for all situations. Local law, customs and practice, and differing circumstances in each transaction, may each dictate that amendments to this Affidavit be made. Effective 12/31/16 ©2016 Missouri REALTORS®
MSC-2010A
Page 1 of 1
