Form # MISC-2

STATE OF _______________________

COUNTY OF _____________________

AFFIDAVIT FOR REMOVAL OF PROPERTY OF

DECEASED, INCARCERATED, OR PERMANENTLY INCAPACITATED TENANT

AND

INDEMNIFICATION AGREEMENT

After being duly sworn, the undersigned person states under oath that the following is true and correct:

1. My full name is (please print) _____________________________________________________________________

2. My address is (current street, city, state, ZIP) ________________________________________________________

3. My telephone numbers are (____) __________ (home) (____) ___________(work) (____) ____________ (cell)

4. My driver’s license or government photo ID number is ______________________________, State ______________

5. Complete this paragraph as applicable.

I (check one) ___ am ___ am not the “emergency contact” person named in the TSSA Self Storage Rental Agreement that was signed by:

________________________________________________ who is shown as the tenant of Unit # _________ in

the___________________________________________ (name of storage facility) located at ___________________

_______________________________________________ in _______________________________________, Texas.

I (check one) __ am or __ am not related to the tenant referred to above. If related, I am the tenant’s (check one)
__ father, __ mother, __ grandfather, __ grandmother, __ son, __ daughter, __ brother, __ sister, __ aunt, __ uncle,
__ cousin, other _____________________. I (check one) __ am or __ am not the executor of tenant’s estate.

6. Such tenant is (check one) __ deceased, __ in jail or the penitentiary, __ permanently missing or __ permanently incapacitated. For that reason, I wish to remove all of the tenant’s property from the storage unit. I acknowledge that removal of the property from the unit does not release the tenant or the tenant’s estate from liability for sums due under the rental agreement.

7. I agree to indemnify and hold the self-storage facility owner, manager, and other agents or employees of the facility harmless from all damages, attorneys fees, and liabilities resulting from any claims made against the facility, its agents or employees as a result of being allowed to enter and remove property from such storage unit.

8. We are requiring the following additional proof: __ Letters Testamentary, __ Death Certificate, __ Appointment of Guardianship, __ other:______________________

__________________________________________________

Printed name of affiant

__________________________________________________

Signature of affiant

THIS FORM MUST BE NOTARIZED

STATE OF ___________________________

COUNTY OF _________________________

On this the _____ day of ________________________, _________, before me, the undersigned authority appeared

_____________________________________ who after being duly sworn stated under oath that the foregoing statements are

true and correct.

_________________________________________________

Notary Public for the State of ________________________

Because of copyright laws, this form may be used only by owner members or management company members of the Texas Self Storage Association, Inc. and may not be used by nonmembers. 