Contractor'S Final Affidavit And Release Of Lien Form

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CONTRACTOR’S FINAL AFFIDAVIT AND RELEASE OF LIEN
STATE__________________________________________
COUNTY OF_____________________________________
BEFORE ME, the undersigned authority, personally appeared ___________________________
who after being by me first duly sworn, deposes and says that:
1.
He is ______________________ of __________________, doing business in the State of
____________________, hereinafter called “Contractor”.
2.
Contractor, pursuant to various Contracts with ___________________________,
hereinafter referred to as “Owner”, has heretofore furnished or caused to be furnished,
labor, material and services for the construction of ________________, and all other
work performed on the project known as ________________________________.
3.
The undersigned affiant for and in consideration of final payment to him in the
amount of _______________________________($
) and all other previous
payments paid by Owner to Contractor, does hereby for and in behalf of the Contractor,
waive, release, remise, and relinquish the Contractor’s right to claim, demand, or impose
a lien or liens for work done or materials and/or services furnished or any other class of
lien whatsoever, on any of the premises owned by the Owner on which improvements
have been completed in accordance with the aforementioned Contract(s).
4.
The affiant herein does hereby represent that he has authority to execute a full and
final release of lien for and in behalf of the Contractor as set forth above.
5.
This Affidavit and Release of Lien is made by affiant with full knowledge of the
applicable laws of the State of __________________. In addition to such
rights as may be afforded to Owner under said applicable laws, Affiant expressly
agrees to indemnify and save Owner harmless from any and all actual costs and expenses,
including reasonable attorney’s fees, arising out of claims by laborers, subcontractors, or
materialmen who might claim that they have not been paid for services or material
furnished by or through the Contractor in connection with the work performed under the
aforementioned Contract(s).
CONTRACTOR:
ATTEST:
By:
SWORN TO AND SUBSCRIBED before me
This ___________ day of ___________________, 20______.
Notary Public
My commission expires:

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