Waiver Of Mechanics' Lien

WAIVER OF MECHANICS' LIEN

To All Whom It May Concern:

In Consideration of the sum of

Dollars,

and other valuable consideration in hand paid, the receipt whereof is hereby acknowledged, the under-

signed does hereby waive, release, and relinquish any and all liens or claims, or right of lien or claim,

for labor or materials, or both, furnished to date hereof, for premises known and described as:

Building

Project No.

Campus of

County of

State of

Witness the hand and seal given this

day

, City of

State of

(Sign)

(Firm's Name)

(Trade

)

(Authorized Agent)

mlb/5-08

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Parent category: Legal