I, _________ being first duly sworn, do say that I am well acquainted with _________ to whom _________ conveyed the following described property: _________ by warranty deed dated the _________ day of _________ _________[date], and recorded in Book _________ page _________ in the Recorder's office of _________ county, state of _________ on the _________ day of _________ _________[date], and with _________ who conveyed the above property to _________ by warranty deed dated _________ _________[date], and affiant positively knows that _________ and _________ is one and the same person, notwithstanding the discrepancy in the names.

Subscribed and sworn to, etc.