Waiver and Release of Lien Upon Final Payment

The undersigned lienor, in consideration of the final payment in the amount of $_________________ hereby waives and releases its lien and right to claim a lien for labor, services, or materials furnished to ____________________________.

(Insert name of customer)

on the job  _____________________________________________________.

(insert name of owner)

to the following prescribed property:


(insert description of property)

DATED on __________ , ____




Received by:


Posted by ralph
January 19, 2021

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