Fillable Affidavit Designating Agent For Lien Reduction project draft

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Affidavit Designating Agent For Lien Reduction project draft

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Country of origin: US
File type: PDF

U.S.A. forms for Town of Cutler Bay

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DEPARTMENT OF COMMUNITY DEVELOPMENT
OWNER AFFIDAVIT
(Authorizing Agent for Lien Reduction)
NAME OF OWNER: _________________________________________________
ADDRESS OF OWNER: ______________________________________________
PROPERTY ADDRESS: ______________________________________________
LEGAL DESCRIPTION: _____________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
FOLIO NUMBER: __________________________________________________
I do certify that, as an Owner, I understand and acknowledge the following:
1) I am personally responsible for knowledge of all applicable laws and regulations. While I
have designated the party below to act as my authorized Agent for purposes of negotiating a lien
reduction, as per Ordinance No. 11-01of the Town of Cutler Bay for the residential/commercial
(circle one or both) property located at _____________________________. As the designated
agent he/she will file all applicable documents and application required by the Town of Cutler
Bay, and shall be responsible for the financial costs associated with processing the potential lien
reduction. The fees associated with the lien reduction, including attorney fees must be paid
regardless of the outcome of the Special Magistrate decision.
2) I hereby designate __________________________ as my Agent for purposes of processing
my application and negotiating the lien reduction.
X ________________________________________
___________________________________________ (Print Name)
Signature of Owner Print Name
STATE OF FLORIDA COUNTY OF MIAMI-DADE
Sworn to and subscribed before me this ____day of _________20__.
By (SEAL)
Personally know or I.D.
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Affidavit Designating Agent For Lien Reduction project draft

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Completed 12 July 2020

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