Form F - Conditional Final Waiver Of Lien Rights

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Form F
CONDITIONAL 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 of improvements
upon real estate owned by __________________________ (“Owner”) and described as
follows:
_______________________________________
_______________________________________
_______________________________________
Upon receipt by __________________________ of a check from
_______________________, in the sum of $_________________ and when the check
has been paid by the bank upon which it is drawn, the undersigned does:
(i)
hereby waive, release and quitclaim in favor of the owner or
owners of said real estate and in favor or each and every party making a loan on
said real estate, 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 of.
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 above.
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 Contract Amount
$ ________________________
Total Payments Received to Date on Contract $ ________________________
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