STATE OF MICHIGAN | ) |
) | ss. |
COUNTY OF | ) |
.................... residing at................................. who offers himself or herself as surety for...................... being first duly sworn, deposes and says that he or she owns in his or her own right real estate subject to levy of execution located in the county of ............... state of Michigan, consisting of .................................................. and described as follows, to-wit: ...........................; that the title to the real estate is in his or her name only; that the value of the real estate is not less than $............ and is subject to no encumbrances whatever except ............. mortgage of $................; that he or she is not surety upon any unpaid or forfeited recognizance and that he or she is not party to any unsatisfied judgment upon any recognizance; that he or she is worth in good property no less than $............ over and above all debts, liabilities, and lawful claims against him or her and all liens, encumbrances, and lawful claims against his or her property.
.. | |
Subscribed and sworn to before me this | |
.. | day of .. 19___. |
.. | |
Judge/district court magistrate/clerk of the court | |
.. | |
county |
MCL 765.20