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

STATE OF ___________________________ 		THIS FORM MUST BE NOTARIZED
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.

© 2021 Texas Self Storage Association, Inc.