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AIA Document G706An' - 1994 Contractor's Affidavit of Release of Liens PROJECT: (Name and address) ARCHITECT'S PROJECT NUMBER: TO OWNER: (Name and address) CONTRACT FOR: General Construction CONTRACT DATED: OWNER: ❑ ARCHITECT: ❑ CONTRACTOR:`❑`" SURETY: OTHER: ❑ STATE OF: COUNTY OF: I, ' ; i 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 attached 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: 1. Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. 2. Separate Releases or Waivers of Liens from Subcontractors and material and equipment suppliers, to the extent required by the Owner, accompanied by a list thereof. CONTRACTOR: (Name and address) BY: (Signature of authorized. representative) `4 3� (Printed name and title) 4 " Subscribed and sworn to before; me. ,on,this' date:. Notary Public: My Commission Expires: AIA Document G706A - 1994. Copyright ® 1982 and 1994 by The American Institute of Architects. All rights reserved. WARNING: This AIA" Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIAa Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This draft was produced by AIA software at 13:47:36 on 12/09/2004 under Order No.1000142432_1 which expires on 10/21/05, and is not for resale. User Notes: (1856462848)