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Affidavit of Payment and Release of Liens: To All Whom It May Concern, To The Following I Do Solemnly Swear and Affirm

This document is an affidavit of payment and release of liens for work completed on a property. It states that the contractor has been paid $0.00 to furnish labor, materials, and services for improvements on a property located in New Mexico as part of Contract Identify contract(s)3. The contractor certifies that all work has been fully performed according to the contract and that there are no outstanding debts or claims related to the work, except for any exceptions listed. The authorized representative of the contracting party signs to affirm the information in the affidavit.

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Joey Singson
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492 views1 page

Affidavit of Payment and Release of Liens: To All Whom It May Concern, To The Following I Do Solemnly Swear and Affirm

This document is an affidavit of payment and release of liens for work completed on a property. It states that the contractor has been paid $0.00 to furnish labor, materials, and services for improvements on a property located in New Mexico as part of Contract Identify contract(s)3. The contractor certifies that all work has been fully performed according to the contract and that there are no outstanding debts or claims related to the work, except for any exceptions listed. The authorized representative of the contracting party signs to affirm the information in the affidavit.

Uploaded by

Joey Singson
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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AFFIDAVIT OF PAYMENT AND RELEASE OF LIENS

To All Whom It May Concern, To The Following I Do Solemnly Swear And Affirm:

WHEREAS, the undersigned has been employed by Person or Firm1 to furnish labor and materials for
nature and extent of work2 work, under a contract Identify contract(s)3 for improvement of the premises
described as improvements and location4 in the Name of Community5, County of Name of County,
State of New Mexico of which, Community Name is the Owner.

NOW, THEREFORE, this 0 day of Month, 2004, for and in consideration of the sum of $0.00 6 Dollars paid
simultaneously herewith, the receipt whereof is hereby acknowledged by the undersigned, the
undersigned does hereby waive and release any lien rights to, or claim of lien with respect to and on said
above described premises, and the improvements thereon, and on the monies or other considerations due
or to become due from the Owner, on account of labor, services, materials, fixtures, apparatus or
machinery heretofore or which may hereafter be furnished by the undersigned to or for the above
described premises by virtue of said contract.

The undersigned, as Contractor for the above named Contract pursuant to the Conditions of the Contract
hereby certifies that, except as listed below, he/she has paid in full or has otherwise satisfied all
obligations for all materials and equipment furnished, for all work, labor, and services performed, and for
all known indebtedness and claims against the Contractor for damages arising in any manner in
connection with the performance of the Contract referenced above for which the Owner or his/her property
might in any way be held responsible.

The undersigned hereby certifies that all work required to be done under terms of the above-described
Contract has been fully performed and completed in conformance with the Contract and that applicable
provisions of the New Mexico Public Works Minimum Wage Act (§ 13-4-11 NMSA 1978) have been met.

EXCEPTIONS: Insert Exceptions7

     
Name of sole ownership, corporation or partnership 8

           
Name of Authorized Representative Title

Signature of Authorized Representative Date

1INSTRUCTIONS:
Person or firm with whom you agreed to furnish either labor, or services, or materials, or both.
2 Fill in the nature and extent of work; strike the word labor or the materials if not in the contract.
3 Identify contract(s) by number, description, and extent of work.
4 Describe improvements and location of the premises to exclude all others.
5 Name community, such as City of ____, Village of ____, or Unincorporated Area known as ____.
6 Amount shown should be the amount actually received and equal to the total adjusted contract.
7 If none, write “None”. If required by Owner, Contractor shall furnish bond satisfactory to Owner for each exception.
8 If waiver is for a corporation, corporate name should be used, corporate seal affixed and title of officer signing
affidavit should be set forth; if waiver is for a partnership, the partnership name should be used, partner should sign
and designate as partner.

/conversion/tmp/scratch/507437231.doc

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