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_SETUP.1
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NOLIEN.BLD
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1997-07-22
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4KB
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161 lines
#100
@001 Enter the name of the OWNER:
~Enter the name of the owner of the property. This should match
~the name on the deed/contract.
@002 Enter the name of the party receiving the affidavit:
~Enter the name of the party who will be receiving the affidavit.
@003 Enter the state where the affidavit is being made:
~Enter the name of the state where the affidavit is being
~executed.
@004 Enter the county where the affidavit is being made:
~Enter the name of the county/parish where the affidavit is
~being made.
@030 Enter the legal description of the property:
~Enter the legal description of the property, or a reference to
~a short form (tax assessors parcel, etc.)
@004 Enter the number of days for the affidavit:
~Enter the number of days that this affidavit covers. Usually
~90 days.
#101/#102/#103 Improvements:
~Select whether or not improvements have been made to the
~property, and if made whether or not they are paid.
have not been made
have been made but have been paid in full
have been made but not have been paid in full
#if#102
@005 Enter the name or names of contractors or other providers:
~Enter the name(s) of any contractors or other persons who have
~the right to file liens against the property who have provided
~materials or services.
#endif
#if#103
@006 Enter the name or names of contractors or other providers:
~Enter the name(s) of any contractors or other persons who have
~the right to file liens against the property who have provided
~materials or services.
!007 Enter amount owed which is still unpaid:
~Enter the undisputed amounts which are unpaid in dollar format.
!008 Enter total amount of known claims for services:
~Enter the total amount of claims (even if the claims are not
~correct) by those with the right to file liens against the
~property.
!009 Enter amount of claims which are disputed:
~Enter the amount of claims which are not agreed to.
#endif
#104
@013/@013/@013 The affidavit is needed to:
~Select the reason that the affidavit is being made. These
~affidavits are usually made at closings of sales or loans.
make a loan
issue title insurance
KEY IN VALUE
#end control section
#100
AFFIDAVIT OF NO LIENS AND IMPROVEMENTS
STATE OF @003)
COUNTY OF @004)
AFFIANT, @001, being duly cautioned to tell the truth, deposes
and states:
I
That I am the owner of the following described real property:
@030
#101
II
That in the preceding @004 days there have been no improvements
made to the property described above.
#102
II
That improvements have been made in the preceding @004 days
to the property described above by @005. @005 has been
fully paid. No parties have asserted any claims whatsoever which
could entitle them to a lien on the above described real estate.
#103
II
The improvements have been made in the preceding @004 days to the
property described above by @006. @006 has not been fully paid
and is owed $@007 (!007 dollars). Claims totaling $@008 (!008
dollars) which are disputed to the extent of $@009 (!009 dollars)
have been made by @010.
#104
III
This affidavit is made to induce @002 to @013, and AFFIANT is
aware that @002 will rely on this affidavit.
FURTHER AFFIANT SAYETH NAUGHT
Dated: __________________________
____________________________________________
@001
Sworn to me and subscribed before me by @001 on ________________
who took an oath and is
____ personally known to me
____ produced ____________________________ as identification.
__________________________________________
Notary Public
My Commission expires: