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., .,~ a a ~ ~.[~t1v111vKi. Vt'CCiVJC 1 U ~1(~IV 11115 <br />.~t•f1llAVIT IF THERE IS ANY SU)VI DUE OR CLAIMED TO BE DUE FOR LABOR OR IVIATERIAL, IF NOT <br />DIS'~LOSED HEREIN. <br />EYECUTION. BY SELLER/BORROWER and GENERAL CONTRACTOR fIF ANYI <br />Seller /Borrower <br />Orange County, North Carolina. <br />Name o lion/Partnership C/Other Seller/Borrower <br />BY: <br />Seller/Borrower <br />Barry Jacobs <br />Print/type name ~ Seller/Borrower <br />Chair, Orange County Board of Commissioners . <br />Title Seller/Borrower <br />Sworn to and,subscribed before me this ~.3 da o ~r/GZ,C~ <br />Y f , - ~d0 <br />Notary. }?ublic:~~% N!y cornmisszon expires.• _ l~ ' ~.~ `.~4 g <br />'. <br />Notary Seul <br />General Contractor . <br />.,General Contractor Print/type name of General E:ontractor <br />Sworn to and subscribed before me this day of <br />Notary Pu61ic: My commission expires: <br />Notary Seal . <br />WAIVER OF LIENS <br />We, the undersigned, are subcontractors, materialmen, or other persons furnishing services or labor or materials, as indicated beside our <br />respective signatures below, in the construction or repair of improvements upon the property. We do hereby waive, release and quitclaim in <br />favor of each and every party making a loan on said real estate, as_ improved, all right that we, or any of us, may now.or hereafter have to a <br />lien upon. the said land and improvements, and we do further warrant that.we.have not and will not assign our claims for payment, nor our <br />right to perfect a lien against.said property, and that we have the right to execute this waiver and release thereof. <br />It is understood and agreed that any and all signatures hereto are for all services rendered, work done and material furnished heretofore and <br />hereafter by the signers in any and alt capacities, and are not understood to be onl y for the particular item against which the signature is affixed: <br />fN WITNESS. WHEREOF, the undersigned have set their hands and seals this the day of <br />~abor or Material Furnished <br />~abor or Material Furnished <br />~abor or Material Furnished <br />abor or Material Furnished <br />orm No, NC-514 (Rev. S/2oOO} <br />Signature <br />Signature <br />.Signature <br />Signature <br />