Prepared By and Return To:
Parcel ID No.: TERMINATION OF NOTICE OF COMMENCEMENT STATE OF: FLORIDA COUNTY OF: The undersigned hereby gives notice of Termination of Notice of Commencement recorded on (date the NOC was recorded), in Official Records Book (Book Number), Page (Page Number), of the Public Records of (County the NOC was recorded in) County, Florida, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Termination:
Legal Description of Property: (Legal Description of Property. This can take up several lines) Property is also known as: (Property Address) General Description of Improvements: (Improvement listed on the NOC) Owner Information: a) Name and Address: (Owners Name and Address) b) Phone and Fax Number: (Owners Phone and Fax Number if supplied) c) Interest in Property: Fee Simple Name and Address of Fee Simple Title Holder (if other than owner): (Names of other parties on Title, if any) Contractor: (Name of Company) a) Name and Address: (Contractors Name and Address) b) Phone Number: (Contractors Phone Number) c) Fax Number: (Contractors Fax Number) Surety: a) Name and Address: (Name of Surety Bond, if any) b) Amount of Bond: $ c) Phone Number: Lender: a) Name and Address: (Name of Lender, if any) b) Phone Number: c) Fax Number: 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: a) Name and Address: b) Phone Number In addition to himself, Owner designates the following person(s) to receive a copy of the lienor’s notice as provided in Section 713.13(1)(b), Florida Statutes: a) Name and Address: b) Phone Number: c) Fax Number
10. The Notice of Commencement is terminated as of
By:__________________________ (Owners Name)
State of: Florida County of: The foregoing instrument was acknowledged before me this ___________day of _______________, 20____, who is personally known to me or has produced their ____________________________________________________ as identification.
_____________________________________ NOTARY PUBLIC My commission expires: