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CONTRACTOR S AFFIDAVIT OF RELEASE OF LIENS AlA Document Instructions o CONTRACTOR G706A on reverse OWNER ARCHITECT SURE1Y side OTHER PROJECT NO. EASE OF LIENS EDITION D199 THE AMEHICAN INSTITl TE OF AHCHITECTS I. NEW YOHK AVENI E NW. WASHINCTON D.C. 1000 292 WARNING Unlicensed photocopying violates U.S. copyright laws and will subject the violator to legal prosecution. G706A-1994. DATED Nalln lIud at/tin. STATE OF COUNTY OF The undersigned hereby certifies that to the best of the undersigned s knowledge information and belief except as listed below the Releases or Waivers of Lien anached hereto include the Contractor all Subcontractors all suppliers of materials and equipment and all performers of Work labor or services who have or may have liens or encumbrances or the right to assert liens or encumbrances against any property of the Owner arising in any manner out of the performance of the Contract referenced above. EXCEPTIONS SUPPORTING DOCUMENTS ATTACHED HERETO Nallw lut addre j 1. Contractor s receipt of final payment. 2. Separate of Liens conditional of Liens from upon Subcontractors and material and equipment suppliers to the extent required by the Owner accompanied by a list thereof* BY Printed IIt/IlIf* alld lille Subscribed and sworn to before me on this date Not uy Public My Commission Expires CAUTION You should sign an original AlA document that has this caution printed in red* An original assures that changes will not be obscured as may occur when documents are reproduced* AlA DOCUMENT AFFIDAVIT OF HEI. DATED Nalln lIud at/tin. STATE OF COUNTY OF The undersigned hereby certifies that to the best of the undersigned s knowledge information and belief except as listed below the Releases or Waivers of Lien anached hereto include the Contractor all Subcontractors all suppliers of materials and equipment and all performers of Work labor or services who have or may have liens or encumbrances or the right to assert liens or encumbrances against any property of the Owner arising in any manner out of the performance of the Contract referenced above. EXCEPTIONS SUPPORTING DOCUMENTS ATTACHED HERETO Nallw lut addre j 1. Contractor s receipt of final payment. EXCEPTIONS SUPPORTING DOCUMENTS ATTACHED HERETO Nallw lut addre j 1. Contractor s receipt of final payment. 2. Separate of Liens conditional of Liens from upon Subcontractors and material and equipment suppliers to the extent required by the Owner accompanied by a list thereof* BY Printed IIt/IlIf* alld lille Subscribed and sworn to before me on this date Not uy Public My Commission Expires CAUTION You should sign an original AlA document that has this caution printed in red* An original assures that changes will not be obscured as may occur when documents are reproduced* AlA DOCUMENT AFFIDAVIT OF HEI. DATED Nalln lIud at/tin. STATE OF COUNTY OF The undersigned hereby certifies that to the best of the undersigned s knowledge information and belief except as listed below the Releases or Waivers of Lien anached hereto include the Contractor all Subcontractors all suppliers of materials and equipment and all performers of Work labor or services who have or may have liens or encumbrances or the right to assert liens or encumbrances against any property of the Owner arising in any manner out of the performance of the Contract referenced above. EXCEPTIONS SUPPORTING DOCUMENTS ATTACHED HERETO Nallw lut addre j 1. Contractor s receipt of final payment. 2. Separate of Liens conditional of Liens from upon Subcontractors and material and equipment suppliers to the extent required by the Owner accompanied by a list thereof* BY Printed IIt/IlIf* alld lille Subscribed and sworn to before me on this date Not uy Public My Commission Expires CAUTION You should sign an original AlA document that has this caution printed in red* An original assures that changes will not be obscured as may occur when documents are reproduced* AlA DOCUMENT AFFIDAVIT OF HEI.

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