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Fill and Sign the Contractors Certification to Owner Individual Delaware Form

Fill and Sign the Contractors Certification to Owner Individual Delaware Form

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CONTRACTOR'S CERTIFICATION –INDIVIDUAL (25 Del. C. §2707) COMES NOW, the undersigned affiant, and would state the following: 1. The undersigned is an independent contractor and has provided labor or materials to the construction project at _________________________________________________________________ . 2. Said property is owned by ____________________________________ , and is intended for use solely as a residence by said owner. 3. The undersigned has paid in full for all labor performed and materials furnished, and/or has provided a written release of mechanics’ lien signed by all parties who might be entitled to a lien against the above-mentioned property. This the _____ day of _________________ , 20 ______ . _________________________ Signature _____ ____________________ Print or Type Name State of Delaware County of ___________________ ______________________________ [DATE] ______________________________ (Name(s) of person(s)) This instrument was acknowledged before me on _________________________ by __________________________________. _____________________ (Signature of Notarial Officer) _____________________ Print Name ______________________ (Title and Rank) (Seal, if any) (My commission expires:____________________.) DE Tit. 25, § 2707 Contractor’s Certification Page 1 of 1

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