Form I
UNCONDITIONAL FINAL 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 hereof.
IT IS UNDERSTOOD AND AGREED THAT WAIVER AND RELEASE IS FOR ALL
SERVICES RENDERED, WORK DONE AND MATERIAL FURNISHED PRIOR TO THE
DATE HEREOF and is for all such services rendered, work done and material furnished
for the particular project indicated below.
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 $______________________