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Fill and Sign the Lawriter Orc 131106 Affidavit Ohio Revised Code Form

Fill and Sign the Lawriter Orc 131106 Affidavit Ohio Revised Code Form

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Affidavit of Payment in Full Page 1 of 2 AFFIDAVIT OF PAYMENT IN FULL-Corporation (Ohio Revised Code Section 1311.011(B)(1)) State of OhioCounty of ___________________________________________________, whose address is _________________________________________________________________________, being first duly sworn, states:1. Notice is hereby given that __________________________________ President of _________________________________, a _____________________________ corporation, whose address is __________________________________________, ________________, Ohio ______, hereby _________________________________ [Owner, Part Owner, or Lessee] has paid the original contractor, _________________________________, the amount of the home construction or home purchase contract price relating to the property at ____________________________________________________________________, in full, and further,2.That payment in full was made prior to receipt by affiant of receipt of a copy of any affidavit of mechanics’ lien pursuant to section 1311.07 of the Revised Code. THIS the _____ day of ______________, 20______. By: ___________________________________ Type or Print Name: ___________________________________ Witness: __________________________________Witness: __________________________________ Attest: Affidavit of Payment in Full Page 2 of 2 Secretary Acknowledgment of Corporation STATE OF OHIOCOUNTY OF _____________________ The foregoing instrument was acknowledged before me this _____________________ (date) by __________________________________________ (name of officer or agent, title of officer or agent) of __________________________________________ (name of corporation acknowledging) a __________________________________________ (state or place of incorporation) corporation, on behalf of the corporation. ACKNOWLEDGED, SWORN TO AND SUBSCRIBED before me on this the _______ day of _____________________, _________. ____________________________________ Notary Public My Commission Expires: ________________ This Instrument was prepared by: Signature Print or Type Name

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