JOINDER IN CERTIFICATE OF PAYMENT

TO:	OWNER

(Name and address from Certificate of payment)

LIENOR

(Name and address from Claim of Lien)

SURETY

(Name and address)

The undersigned joins in the Certificate of Payment to the Contractor recorded on _____________,	in Official Records Book	at Page	of the Public Records of ________________________ County, Florida, and certifies that the facts stated in the Certificate of Payment to the Contractor are true and correct.

Dated _________________,	.

Contractor

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)

(NOTARIAL SEAL)	NOTARY PUBLIC, STATE OF

(Commission Expiration Date)