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NCLTA FORM 1 - Owners Affidavit and Indemnity Agreement rev. 03 2013

This form is to be used in situations where there have been no recent improvements made to the property. The form must be executed by the owner of the property. The affiant states and agrees that at no time during the 120-Day lien period have any labor, services or materials been furnished in connection with a contract, express or implied, for improvements to the property. Furthermore, the affiant agrees to indemnify and hold the title insurer harmless of and from any loss which any party (purchaser, lender, insurer) may become liable for as a result of reliance on the certifications made in the form.

FORM 1 rev 3-13-13.editable.pdf — PDF document, 29 kB (30574 bytes)

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