-Final Release Of Lien

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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 of lien for labor, services or materials to
___________________________ on the job of __________________________, to the following
described property:
____________________________________________________
____________________________________________________
Dated this ______ day of ______________, 20_____
Lienor’s Name:
_______________________________
Address:
_______________________________
_______________________________
By:
_______________________________
Printed Name:
_______________________________
The foregoing instrument was acknowledged before me this _______ of ______________,
20______ , by ______________________________________ who is personally known to me
or who has produced ______________________ as identification and who did take an oath.
Prepared by: ______________________________________
NOTARY PLUBLIC, STATE OF FLORIDA
My Commission Expires: __________________
Note: This is a statutory form prescribed by section 713.20, Florida Statutes (1996) Effective October
1,1996, a person may not require a lienor to furnish a waiver or release of lien that is different from the
statutory form.

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