Termination Of Notice Of Commencement Form - Florida Page 2
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2Tax Parcel Number____________________________________________
TERMINATION OF NOTICE OF COMMENCEMENT
State of Florida County of Volusia
The UNDERSIGNED hereby gives notice of Termination of Notice of Commencement recorded on_____________________________, in Official
Records Book ____________________ Page_________________ of the Public Records of Volusia County, Florida and in accordance with Chapter
713.132, Florida Statutes, the following information is provided in this Notice of Termination:
Description of Property:
1.
(Legal description of the property, and street address if available.)
2.
General description of improvement:
3.
Owner information:
a.
Name and address
b.
Interest in property
c.
Name and address of fee simple titleholder (if other than owner)
4.
a.
Contractor’s Name and address:
b. Contractor’s phone number:
Surety (if applicable):
5.
a.
Name and address
b.
Phone number
c. Amount of bond $_______________________
a. Lender’s Name and address:
6.
b. Lender’s phone number:
7.
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes:
a.
Name and address:
b.
Phone numbers of designated persons:
8.
a. In addition to himself, Owner designates__________________________________ of ______________________________________to
receive a copy of the Lienor’s Notice as provided in Section 713.13(1)(b), Florida Statutes
b.
Phone number:
9.
The Notice of Commencement is terminated as of __________________________________________, or 30 days from the recording date
of this Notice of Termination, whichever date is later.
10. This Notice of Termination applies to:
All the real property subject to the Notice of Commencement
Only to the portion of such real property described as:
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
11. All lienors have been paid in full or prorata in accordance with Section 713.06(4), Florida Statutes
12. A copy of this notice has been served on the contractor and on each lienor who has given notice, if any
______________________________________________
Signature of Owner
State of _______________________, County of ______________________________
The forgoing instrument was acknowledged before me this _________ day of ____________ 20______ by
_______________________________________________,
Personally known to me, or produced__________________________________________________________________ as identification.
__________________________________________________________
Signature of Notary Public - State of Florida
Exhibit attached:
__________________________________________________________
Contractor’s Final Payment Affidavit
Print, Type or Stamp Name of Notary Public
02.16.15
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