VA Interim Affidavit & Agreement

STEWART TITLE GUARANTY COMPANY

INTERIM AFFIDAVIT & AGREEMENT

STATE OF________________________

COUNTY/CITY OF ________________

On this                         day of_________________________________, 20__, before me personally appeared

________________________________________________________________,Owner of Property, and _________________________________________________,General Contractor, to me personally known, who, being duly sworn on their oaths, did say that all of the persons₁ firms and corporations, including the general contractor and all subcontractors who have furnished services, labor or materials according to plans and specifications, or extra items, used in the construction or repair of buildings and improvements on the real estate hereinafter described, have been paid in full and that such work has been performed to satisfaction and accepted by owner as of date herein.

Affiants further say that no claims have been made to either of the affiants by, nor is any suit pending against affiants by any contractor, subcontractor, laborer or materialman, and further that no chattel mortgages or conditional bills of sale, security agreements or financing statements, have been given or are outstanding as to any materials, appliances, fixtures or furnishings placed upon or installed in the aforsaid premises.

Affiants as parties hereto do for a valuable consideration hereby agree and guarantee to hold Stewart Title Guaranty Company (by reason of the fact that it has issued its title insurance polices), harmless against any lien, claim or suit of or by any general contractor, subcontractor, mechanic or materialman, and against chattel mortgages or conditional bills of sale, security agreements or financing statements in connection with the construction or repair of such building or improvements on said real estate.

The  real  estate  and  improvements  referred  to herein  are  situated  in  the

County/City of___________________

State of Virginia, and are described as follows, to wit: [insert legal description____________________________________________________________

___________________________________                           __________________________________

OWNER OF PROPERTY

OWNER OF PROPERTY

                                                                                                __________________________________

                                                                                                GENERAL CONTRACTOR

Executed, subscribed and sworn to before me the day and year above written.

                                                                                                _________________________________

My Commission Expires:                                                        Notary Public

NOTE: FOR USE WHEN OWNER AND GENERAL CONTRACTOR ARE NOT THE SAME.