OFFICIAL RECORDS
Department:
Recording
Packet:
Notice of Termination of Notice of Commencement
NonRefundable
The Official Records Packet (“Packet”) you are purchasing is
hereby deemed a license for the purchaser. Any reproduction or
redistribution of the Packet not in accordance with the terms
delineated herein is expressly prohibited.
NINETEENTH
JUDICIAL CIRCUIT
NOTICE OF TERMINATION
OF
NOTICE OF
COMMENCEMENT
THIS PACKET SHOULD CONTAIN THE FOLLOWING DOCUMENTS:
1- DISCLAIMER AND NOTICE OF LIMITATION OF SERVICES
2- INSTRUCTIONS
3- NOTICE OF TERMINATION FORM
4- CONTRACTORS AFFIDAVIT
NOTICE OF LIMITATION OF SERVICES PROVIDED
THE PERSONNEL IN THIS SELF-HELP PROGRAM ARE NOT ACTING AS YOUR LAWYER OR
PROVIDING LEGAL ADVICE TO YOU.
SELF-HELP PERS
ONNEL ARE NOT ACTING ON BEHALF OF THE COURT OR ANY JUDGE. THE
PRESIDING JUDGE IN YOUR CASE MAY REQUIRE AMENDMENT OF A FORM OR
SUBSTITUTION OF A DIFFERENT FORM. THE JUDGE IS NOT REQUIRED TO GRANT THE
RELIEF REQUESTED IN A FORM.
THE PERSONNEL IN T
HIS SELF-HELP PROGRAM CANNOT TELL YOU WHAT YOUR LEGAL
RIGHTS OR REMEDIES ARE, REPRESENT YOU IN COURT OR TELL YOU HOW TO TESTIFY IN
COURT.
THE INFORMATION THAT YOU GIVE TO AND RECEIVE FROM SELF-HELP PERSONNEL IS NOT
CONFIDENTIAL AND MAY BE SUBJECT TO DISCLOSURE AT A LATER DATE. IF ANOTHER
PERSON INVOLVED IN YOUR CASE SEEKS ASSISTANCE FROM THIS SELF-HELP PROGRAM
THAT PERSON WILL BE GIVEN THE SAME ASSISTANCE THAT YOU RECEIVE.
IN ALL CASES, IT IS BEST TO CONSULT WITH YOUR OWN ATTORNEY.
ACKNOWLEDGMENT
PLEASE COMPLETE THE FOLLOWING PARAGRAPH.
FILE THE SIGNED DOCUMENT WITH THE CLERK OF COURT.
I CAN READ ENGLISH
I CANNOT READ ENGLISH, THIS NOTICE WAS READ TO ME BY
[NAME]
IN [LANGUAGE]
I
{name} do acknowledge that I have read this Notice of
Limitation of Services Provided. I have received an explanation of the Notice of Limitation of Services
Provided and I understand the limitation of the services provided. I understand that it is in my best interest
to secure an attorney to represent my interest in this case. I understand that this form must be signed and
filed with the Clerk before the Self-Help program may provide services to me.
Date
Case
No:
Signature
Signature
Revised 7/13/2021
MICHELLE R. MILLER
CLERK OF THE CIRCUIT COURT & COMPTROLLER
Recording Department
201 South Indian River Drive
F
ort Pierce, Florida 34950
(772) 462-6930
NOTICE OF TERMINATION
INSTRUCTIONS
1- DATE OF NOTICE OF COMMENCEMENT
2- OFFICIAL RECORDS BOOK AND PAGE NUMBER
3- COUNTY
4- DATE
5- SIGNATURE
6- PRINT NAME
7- PRINT ADDRESS
8- NOTARY FILL IN COUNTY
9- NOTARY FILL IN DATE
10-NOTARY FILL IN NAME OF PERSON SIGNING
11-NOTARY FILL IN IDENTIFICATION
12-NOTARY SIGN
13-NOTARY PRINT NAME
14-NOTARY SEAL OR STAMP
15-NAME AND ADDRESS OF PERSON PREPARING DOCUMENT
16-NAME OF CONTRACTOR
17-AMOUNT OF FINAL PAYMENT
18-CONTRACTOR SIGNATURE
19-NOTARY FILL IN STATE
20-NOTARY FILL IN COUNTY
21-NOTARY FILL IN NAME OF PERSON SIGNING
22-NOTARY FILL IN IDENTIFICATION
23-NOTARY FILL IN DATE
24-NOTARY SIGN
25-NOTARY PRINT NAME
26-DATE OF COMMISSION EXPIRATION
27-NOTARY SEAL OR STAMP
NOTICE OF TERMINATION OF
NOTICE OF COMMENCEMENT
The unders
igned hereby informs all concerned that the
undersigned will TERMINATE that certain Notice of
Commencement dated _______1________, ________,
Recorded in OFFICIAL RECORDS BOOK ____2_____
PAGE ________, of _______3________, Florida, in accordance
With Section 713.132, Florida Statutes, the following
information is provided.
1- The date and recording information of the Notice of Commencement being terminated is described above.
2- The Notice of Commencement shall be terminated as of ______4________, 20____, (which date may not be
earlier than 30 days after the Notice of Termination is recorded), if no date is inserted in the previous blanks, the
Notice of Commencement will be terminated 30 days from the date of recording of this Notice of Termination.
3- This N
otice of Termination applies to all real property described in the Notice of Commencement, unless a legal
description is set forth below this paragraph (in which case this termination is effective only as to the property
described).
___________________5___________________
Owner Signature
___________________6___________________
Owner Printed Name
___________________7___________________
______________________________________
Address
State of __________8___________
County of ____________________
The foregoing instrument was acknowledged before me this ____ day of _________9___________,
20____, by ___________________10________________________, who is personally known to me or who has produced
_________________11_________________ as identification and who did/did not take an oath.
(Seal) 14
_________________12___________________
Notary Signature
_________________13____________________
Notary Printed Name
Prepared by/Return to: 15
For Clerk’s Use Only
CONTRACTOR’S FINAL AFFIDAVIT AND RELEASE OF LIEN
STATE OF Florida
COUNTY OF Saint Lucie
BEFORE ME, the undersigned authority, personally Appeared _________16________, who after being by
me first duly sworn, deposes and says of his personal knowledge that:
1- He is (AGENT or OWNER) of (COMPANY or PROPERTY) which (does business or is located) in the State of
Florida (hereinafter called the “Contractor”).
2- Contractor, pursuant to the Contract dated ___________( hereinafter referred to as the “Contract”)
with_________________________(hereinafter referred to as the “Owner”), has heretofore furnished or caused to
be furnished labor, materials and services for the construction of certain improvements as more particularly set
forth in the Contract.
3- Contractor represents that all work to be performed under the aforesaid Contract has been fully completed and
that all lienors under the direct contract have been paid in full except the following:
Name of Lienor: Amount Due: $0.00
4- In consideration of final payment of the Contractor in the amount of $______17_______, and all other previous
payments paid by the Owner to the Contractor, the undersigned does hereby for and in behalf of the Contractor,
waive, release and relinquish the Contractor’s right to any claim or demand or right to impose a lien or liens for
work done or materials or services furnished or any other class of lien whatsoever, on any of the property owned
by Owner on which improvements have been completed in connection with the aforementioned Contract.
5- The affiant represents that he has authority to execute a full and final release of lien for and in behalf of the
Contractor.
6- The affiant makes this Affidavit and Release of lien, pursuant to Chapter 713, F.S., for the express purpose of
inducing the Owner to make final disbursement and payment to the Contractor in the amount of $0.00.
______________18__________________
Contractor Signature (Agent)
__________________________________
Printed Name (Title)
State of _______19_________ __________________________________
Company Name
County of _____20_________
I HEREBY CERTIFY that on this day, before me, an Officer duly authorized in the State aforesaid and the County
aforesaid to take acknowledgments, personally appeared_________________21_________________
to me known to be the person(s) described in or who has/have produced _______22________ as identification and who
executed the foregoing instrument and he/she/they acknowledged before me that he/she/they, executed the same.
WITNESS my hand and official seal in the County and State last aforesaid this _____23_____ day
of___________________________, 20____.
_________________24_________________
Notary Signature
_________________25_________________
(Seal) 27 Notary Printed Name
MY COMMISSION EXPIRES:
26
NOTICE OF TERM
INATION OF
NOTICE OF COMMENCEMENT
The undersigned hereby informs all concerned that the
undersigned will TERMINATE that certain Notice of
Commencement dated _______________, ________,
Recorded
in OFFICIAL RECORDS BOOK _________
PAGE ________, of _______________, Florida, in
accordance With Section 713.132, Florida Statutes, the
following information is provided.
1- The date and recording information of the Notice of Commencement being terminated is described above.
2- The Noti
ce of Commencement shall be terminated as of ______________, 20____, (which date may not be
earlier than 30 days after the Notice of Termination is recorded), if no date is inserted in the previous blanks, the
Notice of Commencement will be terminated 30 days from the date of recording of this Notice of Termination.
3- This No
tice of Termination applies to all real property described in the Notice of Commencement, unless a legal
description is set forth below this paragraph (in which case this termination is effective only as to the property
described).
_______________________________________
Owner Signature
_______________________________________
Owner Printed Name
_______________________________________
_______________________________________
Address
State of _____________________
County of ___________________
The foregoing instrument was acknowledged before me this ____ day of ____________________,
20____, by ___________________________________________, who is personally known to me or who has produced
__________________________________ as identification and who did/did not take an oath.
(Seal) _________
_____________________________
Notary Signature
______________________________________
Notary Printed Name
Prepared by/Return to:
For Clerk’s Use Only
CONTRACTOR’S FINAL AFFIDAVIT AND RELEASE OF LIEN
STATE OF Florida
COUNTY OF Saint Lucie
BEFORE ME, the undersigned authority, personally Appeared ___________________, who after being by
me first duly sworn, deposes and says of his personal knowledge that:
1- He is (AGENT or OWNER) of (COMPANY or PROPERTY) which (does business or is located) in the State of
Florida (hereinafter called the “Contractor”).
2- Contractor, pursuant to the Contract dated ___________( hereinafter referred to as the “Contract”)
with_________________________(hereinafter referred to as the “Owner”), has heretofore furnished or caused to
be furnished labor, materials and services for the construction of certain improvements as more particularly set
forth in the Contract.
3- Contractor represents that all work to be performed under the aforesaid Contract has been fully completed and
that all lienors under the direct contract have been paid in full except the following:
Name of Lienor:
Amount Due: $0.00
4- In consideration of final payment of the Contractor in the amount of $_______________, and all other previous
payments paid by the Owner to the Contractor, the undersigned does hereby for and in behalf of the Contractor,
waive, release and relinquish the Contractor’s right to any claim or demand or right to impose a lien or liens for
work done or materials or services furnished or any other class of lien whatsoever, on any of the property owned
by Owner on which improvements have been completed in connection with the aforementioned Contract.
5- The affiant represents that he has authority to execute a full and final release of lien for and in behalf of the
Contractor.
6- The affiant makes this Affidavit and Release of lien, pursuant to Chapter 713, F.S., for the express purpose of
inducing the Owner to make final disbursement and payment to the Contractor in the amount of $0.00.
__________________________________
Contractor Signature (Agent)
__________________________________
Printed Name (Title)
State of __________________ __________________________________
Company Name
County of ________________
I HER
EBY CERTIFY that on this day, before me, an Officer duly authorized in the State aforesaid and the County
aforesaid to take acknowledgments, personally appeared____________________________________
to me known to be the person(s) described in or who has/have produced _________________ as identification and who
executed the foregoing instrument and he/she/they acknowledged before me that he/she/they, executed the same.
WITNESS my hand and official seal in the County and State last aforesaid this ____________ day
of___________________________, 20____.
___________________________________
Notary Signature
___________________________________
(Seal)
Notary Printed Name
MY COMMISSION EXPIRES:
2014 Florida Statutes
TITLE XL
REAL AND PERSONAL PROPERTY
LIENS, GENERALLY
Chapter 713
SECTION 132
Notice of termination.
713.132 Notice of termination.—
(1) An owner may terminate the period of effectiveness of a notice of commencement by executing, swearing to,
and recording a notice of termination that contains:
(a) The same information as the notice of
commencement;
(b) The recording office document book and page reference numbers and date of the notice of commencement;
(c) A statement of the date as of which the notice of commencement is terminated, which date may not be earlier
than 30 days after the notice of termination is recorded;
(d) A statement specifying that the notice applies to all the real property subject to the notice of commencement
or specifying the portion of such real property to which it applies;
(e) A statement that all lienors have been paid in full; and
(f) A statement that the owner has, before recording the notice of termination, served a copy of the notice of
termination on the contractor and on each lienor who has a direct contract with the owner or who has served a notice
to owner. The owner is not required to serve a copy of the notice of termination on any lienor who has executed a
waiver and release of lien upon final payment in accordance with s. 713.20
.
(2) An owner has the right to rely on a contractor’s affidavit given under s. 713.06(3)(d), except with respect to
lienors who have already given notice, in connection with the execution, swearing to, and recording of a notice of
termination. However, the notice of termination must be accompanied by the contractor’s affidavit.
(3) An owner may not record a notice of termination except after completion of construction, or after construction
ceases before completion and all lienors have been paid in full or pro rata in accordance with s. 713.06
(4). If an owner
or a contractor, by fraud or collusion, knowingly makes any fraudulent statement or affidavit in a notice of termination
or any accompanying affidavit, the owner and the contractor, or either of them, as the case may be, is liable to any
lienor who suffers damages as a result of the filing of the fraudulent notice of termination; and any such lienor has a
right of action for damages occasioned thereby.
(4) A notice of termination is effective to terminate the notice of commencement at the later of 30 days after
recording of the notice of termination or the date stated in the notice of termination as the date on which the notice
of commencement is terminated, if the notice of termination has been served pursuant to paragraph (1)(f) on the
contractor and on each lienor who has a direct contract with the owner or who has served a notice to owner.
History.—s. 7, ch. 90-109; s. 5, ch. 92-286; s. 3, ch. 97-219; s. 4, ch. 98-135; s. 7, ch. 2012-211.
Discla
imer: The information on this system is unverified. The journals or printed bills of the respective chambers should be consulted
for official purposes.
Copyright © 2000- 2015 State of Florida.
