mSchool District
Certificate

THIS IS TO CERTIFY THAT I _______________________________________________________
AS OWNER OF THE PROPERTY HEREIN DESCRIBED IN THE SURVEYOR'S CERTIFICATE, WHICH WILL BE KNOWN AS ________________________________________
SUBDIVISION, TO THE BEST OF MY KNOWLEDGE, IS LOCATED WITHIN THE BOUNDARIES OF COMMUNITY UNIT SCHOOL DISTRICT # _________________________.
AND/OR HIGH SCHOOL DISTRICT# ________________ IN McLEAN COUNTY, ILLINOIS.
DATED THIS ___________ DAY OF ___________________, 20_______.
 

_________________________________
Print Owner's Name

STATE OF ILLINOIS
                                             }
COUNTY OF McLEAN

I, _____________________________________________________________, a Notary Public in and
for the County and State aforesaid, do hereby certify that ____________________________________
__________________ personally known to be the same person whose name is subscribed to the foregoing owner's statement, appeared before me, this day, in person and acknowledged the execution of this statement as his free and voluntary act.


Given under my hand and notarial seal this _________________________________________ day of
____________________________, 20________.

_________________________________________
Notary Public