NOTICE OF BOND

TO:

(Name and address of lienor)

You are notified that the Claim of Lien filed by you on	,

, and recorded in Official Records Book	at Page	of the Public Records of County, Florida, is secured by a bond, a copy being attached.

Dated: ,	.

(Name of person recording notice)

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

(Commission Expiration Date)