Fill and Sign the No Lien 497308951 Form

NO LIEN AFFIDAVIT STATE OF LOUISIANA PARISH OF ________ BEFORE ME, the undersigned Notary and competent witnesses, personally appeared: _______________ , husband of _______________ , and the said _______________ , both residing at ____________________________________________ , who, being first duly sworn, declared and said that: The undersigned is the record owner of the property described as follows: _________________________________________________________ . _________________________________________________________ . upon which the undersigned contractor has constructed improvements. All bills, claims and demands due laborers and contractors or furnishers of labor and/or materials entering into the improvements erected on the property have been paid in full as of this date, or if unpaid, the funds disbursed this date shall be dedicated to the payment of bills or claims which have been or will be incurred as a consequence of the construction and no bills or charges shall remain unpaid which are, or might, constitute liens against the property except: None. No suits are now pending in any Court which impair or involve title to said property, no judgments have been rendered and there are no mortgages, encumbrances or other liens or rights to liens of any kind or character now outstanding against said property, except: None. The undersigned acknowledges _______________ would not disburse funds secured by a mortgage absent the guarantee and warranty by the undersigned that all subcontractors, mechanics, workmen, laborers and furnishers of materials, fixtures and supplies have been paid in full or shall be fully paid without delay. NOW, THEREFORE, in consideration of the willingness of _______________ to fully disburse this loan, the undersigned Owner and Contractor jointly and severally do unconditionally obligate themselves to pay and discharge promptly any and all claims or liens, if any, against the aforedescribed property and to hold _______________ harmless from all losses or damages whatsoever resulting or arising from a failure to do so, together with all costs and expenses in connection therewith and a reasonable attorney's fee. The undersigned further declared that he/she has read or heard read this Affidavit and understands it contents. The undersigned further acknowledges that he/she is familiar with the nature of an oath and with the penalties provided by the laws of this state and the provisions of Title l8, Section l0l4, The United States Code for falsely swearing to statements made in a document of this nature and all declarations made herein are true in substance and in fact and are made for the purposes set forth herein. WITNESSES: ___________________________ _______________________________ _______________ OWNER & CONTRACTOR ___________________________ _______________________________ _______________ OWNER SWORN TO AND SUBSCRIBED before me this _____ day of ________________, 20 ___ . ___________________________________ _______________ NOTARY PUBLIC Loan No. __________