AFFIDAVIT (F.S. §475.707(2) - Individual Seller) STATE OF _____________ COUNTY OF ___________ ) ) ) BEFORE ME, the undersigned authority, personally appeared the undersigned affiant _________________________________________________ (the "Owner"), who being first duly sworn upon oath, deposes and says that: 1. The undersigned Owner is the owner of certain real property (the "Property") located in _______________ County, Florida, being more particularly described as follows: 2. This Affidavit pertains to a certain broker's commission notice recorded pursuant to the Florida Commercial Real Estate Sales Commission Lien Act, Part III of Chapter 475, Florida Statutes (the "Act"), on __________________, 20___ in Official Records Book _______, Page _______, Public Records of ___________________ County, Florida, with respect to certain commercial real estate then owned by and more particularly described in said commission notice. 3. The Owner is not related to the previous owner of the Property identified in said commission notice, and the Owner acquired the Property as a bona fide purchaser for value by virtue of a deed recorded subsequent to said commission notice on ________________, 20___ in Official Records Book _______, Page _______, said Public Records. 4. The Owner is not a party to the brokerage agreement described in said commission notice and is not obligated to pay any commission to the broker named therein. 5. The Owner shall indemnify, defend and hold (the "Closing Agent") harmless from and against all loss, cost, damage and expense of every kind, including attorney's fees, which the Closing Agent may incur or become liable for because of the Closing Agent's reliance on the statements made by the Owner in this Affidavit. FURTHER AFFIANT SAYETH NAUGHT. Affiant Signed and sworn to or affirmed under penalty of perjury before me, a notary public, this _____ day of ____________, 20__, by _______________________________________, who is personally known to me or produced ____________________ as identification. Notary: ............................................................................. Print Name: Notary Public, State of My commission expires: [NOTARIAL SEAL] Form 475.707(2) - BFP Affidavit - Individual.doc