Al Form 7 - Interim Waiver And Release Upon Payment

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AL Form 7
THIS FORM TO BE USED B SUB-SUBS, VENDORS AND SUPPLIERS OF SUBCONTRACTOR
INTERIM WAIVER AND RELEASE
UPON PAYMENT
STATE OF ALABAMA
COUNTY OF ______________
The undersigned mechanic and/or materialman has been employed by
to furnish _________________________________________________________________ for the construction of
(describe materials and/or labor)
improvements known as ________________________________________________________ which is located in
(title of the project or building)
the City of ______________________________, County of _____________________________, and is owned by
______________________________________ and more particularly described as follows:
(Name of Owner)
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
(DESCRIBE THE PROPERTY UPON WHICH THE IMPROVEMENTS WERE MADE BY USING
EITHER A METES AND BOUNDS DESCRIPTION, THE LAND LOT DISTRICT, BLOCK AND LOT
NUMBER, OR STREET ADDRESS OF THE PROJECT.)
Upon receipt of the sum of $___________________, the mechanic and/or materialman waives and
releases any and all liens or claims of liens it has upon the foregoing described property or any claims against
any payment bond of contractor through the date of _________________________(date), including any claims
for changes to the Work which were not detailed by Subcontractor in a change order request as of the date of
this document and which were based on improvements actually provided by the undersigned through the
date of this document and further excepting those rights and liens that the mechanic and/or materialman
might have in any retained amounts, on account of labor or materials, or both, furnished by the undersigned
to or on account of said contractor for said building or premises. BY EXECUTING THIS DOCUMENT,
THE UNDERSIGNED AGREES THAT THIS DOCUMENT SHIFTS THE PRESUMPTION OF WAIVER
OF LIEN RIGHTS TO THE UNDERSIGNED AND THAT THIS DOCUMENT MAY BE USED TO
ESTABLISH THAT THE UNDERSIGNED KNOWINGLY SURRENEDERED AND WAIVED ITS LIEN
RIGHTS AS SPECIFIED.
Given under hand and seal this ____ day of _______________________, _______.
*Company Name:_______________________
By: ITS AUTHORIZED REPRESENTATIVE
____________________________________(Seal)
Name:_______________________________
________________________
Title:________________________________
(Witness)
*Benning may rely on the statement of
authorization in taking action based on this
documents.(Witness)
________________________
(Address)

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