Unconditional Partial Waiver Of Lien Rights printable pdf download

Form H

UNCONDITIONAL PARTIAL WAIVER OF LIEN RIGHTS

TO ALL WHOM IT MAY CONCERN:

The undersigned (“Contractor”) is a subcontractor, materialman or other person

furnishing services or labor or material in the construction or repair or improvements

upon the Real Property owned by __________________________ (“Owner”) and

described as follows:

_______________________________________

In consideration of the sum of __________________________ Dollars ($__________),

the receipt of which is hereby acknowledged, the undersigned does:

(i)

hereby waive, release and quitclaim in favor of Owner and in favor

or each and every party making a loan on the Real Property, as improved and his

or its successors and assigns, all right that the undersigned may have to a lien

upon the land and improvements above described; and

(ii)

hereby release ____________________ its officers, shareholders,

directors, members, employees, agents, assigns, predecessor-, successor-,

affiliated-, subsidiary-, and parent corporations (and the officers, directors and

employees of such corporations) from any and all claims, counterclaims,

demands, causes of action, obligations, damages and liabilities of every kind

arising out of or relating to the transactions, goods, or services provided to or for

the benefit of or pursuant to agreement with ____________________ prior to the

date thereof.

IT IS UNDERSTOOD AND AGREED THAT WAIVER AND RELEASE IS FOR ALL

SERVICES RENDERED, WORK DONE AND MATERIAL FURNISHED PRIOR TO THE

DATE OF _______________ and is for all such services rendered, work done and

material furnished for the particular project indicated above.

Nothing in this Partial Waiver of Lien Rights shall waive or otherwise affect lien rights for

retainage in the amount of ($_________) now being held by ____________________

for labor or work performed and/or material furnished prior to _______________.

Additionally, the undersigned agrees to serve a new Notice of Furnishing if the

undersigned furnishes additional material or performs additional labor or work on or to

the aforementioned project after the date hereof, and for which the undersigned wishes

to reserve lien rights against said project.

Total Amount Paid to Date on Contract: $ ___________

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Unconditional Partial Waiver Of Lien Rights