Permit No.

Tax Folio No.

NOTICE OF TERMINATION OF NOTICE OF COMMENCEMENT

STATE OF

COUNTY OF

THE UNDERSIGNED hereby gives notice of termination of the Notice of Commencement recorded in Official Records Book Page in the public records of ____________ County, Florida. The Notice of Commencement is terminated as of the day of ,	, or thirty days after this Notice of Termination of Notice of Commencement is recorded, whichever is later. This Notice applies to: all of the real property described in paragraph 1 or that part of the real property described as follows (insert legal description of property and street address, if available):

All lienors have been paid in full.

The Owner, before recording this Notice of Termination of Notice of Commencement, served a copy on the Contractor and on each Lienor giving notice pursuant to Chapter 713, Florida Statutes.

1.	Description of property (legal description and address, if available):

2.	General description of improvement:

3.	Owner information:

a)	Name and address:

b)	Interest in property:

c)	Name and address of fee simple title holder (if other than Owner):

4.	Contractor (name and address):

5.	Surety:

a) Name and address:

b) Amount of bond: $

6.	Lender (name and address):

7.	Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by section 713.13(1)(a)7., Florida Statutes (name and address)

8.	In addition to himself, Owner designated (name) of (address) to receive a copy of the Lienor's Notice as provided in section 713.13(1)(b), Florida Statutes.

9.	Expiration date of notice of commencement:

(Owner)

By:

Print Name:

Print Title:

Address:

STATE OF

COUNTY OF

SWORN TO and subscribed before me this day of , , by (name), as (title) of (name of corporation), a (State) corporation, on behalf of the corporation. He/She [please check as applicable] /______/ is personally known to me, or has produced /______/ his/her (state) driver's license, or /______/ his/her	(type of identification) as identification.

(Signature)

(Printed Name)

NOTARY PUBLIC, STATE OF

My Commission Expires: