FINAL CONTRACTORS AFFIDAVIT



CONTRACTOR'S PROGRESS PAYMENT AFFIDAVIT

STATE OF FLORIDA )

COUNTY OF       )

BEFORE ME, the undersigned authority, personally appeared       (hereafter “Affiant”) who after being duly sworn deposes and says of his or her personal knowledge the following:

1. Affiant is the       of       which does business in the State of Florida, hereinafter called the “Contractor.”

2. Contractor, pursuant to a contract, with      , (Owner or its authorized agent), hereinafter referred to as the Owner, has furnished or caused to be furnished labor, material, and services for the construction of certain improvements to Real Property as more particularly described as      .

3. This Affidavit is executed in accordance with §713.06(3)(c) of the Florida Statutes for the purposes of obtaining a progress payment from the Owner in the amount of $     .

4. All lienors under Contractor’s direct contract have been paid in full, except the following listed lienors:

|NAME OF LIENOR |AMOUNT DUE |

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Signed, sealed, and delivered this       day of      , 20     .

NAME OF CONTRACTOR'S BUSINESS

BY: ___________________________________

name of affiant, TITLE

SWORN TO AND SUBSCRIBED BEFORE ME this       day of      , 20     , by      , who is personally known to me or produced ___________________ as identification and who did take an oath.

NOTARY PUBLIC

COMMISSION EXPIRES:

SEAL

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