AFFIDAVIT OF OWNERSHIP
NOTICE TO LAND DIVISION/COMBINATION APPLICANTS
PLEASE TAKE NOTICE that the requirement set forth by the Macomb Township
Application for Land Division/Combination must be strictly adhered to in order to promptly
process your application. Proof of ownership or interest in the property must be clearly shown
by affidavit, deed, land contract, option agreement, lessee, etc.
If the applicant is not the fee holder of the subject property, he is a purchaser under
(____________________________), it is necessary to establish the fee title holder’s intention
a land contract, optionee or lessee, etc.
and desire to have the subject property receive Land Division/Combination approval. It is
required that this document be filed with the application, be signed by the fee
title holder and notarized.
(I), (We), ( ), the undersigned fee title owner(s) of
property hereinafter described, acknowledge (my) (our) intention and desire to have the Land
Division/Combination approved for the property described below.
(I), (We), further authorize (_____________________________________), as
name of applicant
( ) of the property, to process an Application for Land
recite applicant’s interest in property
Division/Combination with the Township of Macomb on (my) (our) behalf.
(Insert legal description or parcel _____________________________________
identification number below) (name) (owner)
STATE OF MICHIGAN
COUNTY OF MACOMB
On this _______ day of ____________________, 200__, before me personally appeared
______________________________ to me known to be the person(s) described in and who
executed the foregoing instrument and acknowledge that ______________________ executed
the same as ____________ free act and deed.
Macomb County, Michigan
My Commission expires __________
September 14, 2005