ࡱ> 576` nbjbjss 7n0         F $ h:#   y y y   y y y y   @ˊ  "y 0 y ## L#y #y $y o  $  , CONTRACTOR'S FINAL PAYMENT AFFIDAVIT STATE OF FLORIDA COUNTY OF Before me, the undersigned authority, personally appeared who, after being duly sworn, deposes and says of his or her personal knowledge the following: 1. He or she is the of , which does business in the State of Florida, hereinafter referred to as the "Contractor." 2. Contractor, pursuant to a contract with _________________________, hereinafter referred to as the "Owner," has furnished or caused to be furnished labor, materials, and services for the construction of certain improvements to real property as more particularly set forth in said contract. 3. This affidavit is executed by the Contractor in accordance with section 713.06 of the Florida Statutes for the purposes of obtaining final payment from the Owner in the amount of $ . 4. All work to be performed under the contract has been fully completed, and all lienors under the direct contract have been paid in full, except the following listed lienors: NAME OF LIENOR: AMOUNT DUE: Signed, sealed and delivered this ___ day of , 20 . Print Name: Print Title: Contractor Name: SWORN TO and subscribed before me this day of , , by (name), who is /______/ is personally known to me or produced as identification, and did take an oath. (Signature) (Printed Name) NOTARY PUBLIC, STATE OF FLORIDA (Commission Expiration Date) %&ACDEF 9 = _    : A h n  !BHNѼܲѨܼƚƆܨܼhnhz>*CJ^JaJ hz^Jhnhn>*CJ^JaJhzCJ^JaJhzCJ^JaJhnCJ^JaJhn>*CJ^JaJhz>*CJ^JaJhzCJ^JaJhz5CJ\^JaJhz5CJ \^JaJ 4%&7EF  R S q r s t u $`a$$!`!a$$`a$$a$$a$n < !BOlmn `^ `^ `^ `gdn `` ` $ ``a$$ `a$ $ @ ^a$NOklmnhzCJ^JaJ hz^JhzCJ^JaJhnhz>*CJ^JaJ50P:pz/ =!"#$% T@T Normal1$7$8$H$ CJOJQJ_HaJmH sH tH DA@D Default Paragraph FontRiR  Table Normal4 l4a (k@(No List <&@< Footnote Referencen un%&7EFRSqrstu<!BOlmp$$$$$$$$$$$$$$$$$$$$$$$$$$$$$5$$$$$5$$$$$$p$%&7EFRSqrstu<!BOlmp00000000000000000000000000000000000000000Nn  n n 8@0(  B S  ?pak<p::CEBNmppzPzn@\\Connie\KM-4035 KXNe06:Kyocera Mita KM-4035 KX\\Connie\KM-4035 KX\\Connie\KM-4035 KXdXXdPcK)Po **$**$o **$**$ 000000004!*4!*2 dd@ ? ?XX0J,X< XXXXdPcK')dPcK N)Confidential 1\\Connie\KM-4035 KXdXXdPcK)Po **$**$o **$**$ 000000004!*4!*2 dd@ ? ?XX0J,X< XXXXdPcK')dPcK N)Confidential 1mmkmmn@UnknownGz Times New Roman5Symbol3& z Arial" hdCdCy y ! xx2kk3  ?z$CONTRACTOR'S FINAL PAYMENT AFFIDAVITStephen D. MarloweStephen D. MarloweOh+'0 8D d p |(CONTRACTOR'S FINAL PAYMENT AFFIDAVITStephen D. Marlowe Normal.dotStephen D. Marlowe2Microsoft Office Word@F#@@uz@@uzy՜.+,0 hp  Marlowe and Mcnabb k %CONTRACTOR'S FINAL PAYMENT AFFIDAVIT Title !"#$%&')*+,-./2Root Entry F@ˊ41Table#WordDocument7SummaryInformation( DocumentSummaryInformation8(CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89qRoot Entry F@):@1Table#WordDocument7SummaryInformation(  !"#$%&'98 DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q՜.+,D՜.+,` hp  Marlowe and Mcnabb k %CONTRACTOR'S FINAL PAYMENT AFFIDAVIT Title4 $,