Fill and Sign the Florida Objection Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: ___________________ Company: ___________________ Address: _____________________ City: __________________________ State: _____ Zip: ___________ Phone: _____________________ Fax: _______________________ NOTICE OF OBJECTION TO CONTRACT TO: ___________________________________ DATE: __________________________________ __________________________________ __________________________________ (contractor's name and address) The undersigned hereby informs you within ten days of learning of the contract for the construction of improvements to the real property located at _____________________________ that he or she objects to the contract signed by _______________________ , the undersigned’s spouse affecting property owned by ______________________ (the undersigned objecting spouse or both spouses jointly). Pursuant to Chapter 713.12, Florida Statutes, t he spouse who entered into the contract shall not be deemed to be the agent of the undersigned spouse to the extent of subjecting the right, title, or interest of the undersigned in such property to liens under this part. __________________________________ (Signature) Type or Print Name: _____ ________________________ Address: ______________________________________ Notice of Objection to Contract Page 1 of 2 STATE OF ___________ COUNTY OF _____________ Sworn to (or affirmed) and subscribed before me this _____ day of _________________, 20______ by _________________________ (name of person making statement) who is personally known to me or produced _________________________ as identification, and who did take an oath. ____________________________ NOTARY PUBLIC Printed Name of Notary _________________________ Commission Expires _________________________ Certificate of Service I, _____________________________________, hereby certify that I have delivered this day a true and attested copy of the foregoing to ___________________________________ by: ( ) Actual Delivery to the person to be served. ( ) Mailing a true and correct copy of same by registered or certified U.S. mail, with postage prepaid, or by overnight or second-day delivery with evidence of delivery. ( ) If service cannot be made by the above methods, by posting on the premises. ________________________ Signature Notice of Objection to Contract Page 2 of 2