Subcontractor / Supplier Final Waiver Of Lien For Material Of Labor Template printable pdf download

Subcontractor / Supplier Final Waiver Of Lien For Material Of Labor Template

Subcontractor / Supplier

FINAL

Waiver of Lien for Material of Labor

Pursuant to ORC Sections 1311.26 to 1311.32

STATE OF ____________________)

:SS

COUNTY OF __________________)

TO WHOM IT MAY CONCERN:

WHERAS, the undersigned _______________________________________________ has been

(Subcontractor)

employed by _____________________________________________________________ to furnish labor

(Prime Contractor)

and/or materials for ____________________________________________________________________

(Nature of the Work)

for the Project known as ________________________________________________________________

at ___________________________________________ in ____________________________________

(Address)

(City)

________________________, ________________________.

(County)

(State)

The last of said labor and/or materials was provided to the above-described project on the ____ day of

_______________ , 20___.

NOW, THEREFORE, KNOW YE, that the undersigned for and in consideration of the

sum of $________________ and other good and valuable considerations, the receipt of which is

hereby acknowledged, does hereby waive and release any and all liens and claims against any and

all funds of the City of Springfield, Ohio, to the extent of such $________________ at any time

heretofore and hereafter designated for use in connection with the above-described project, under

the statutes of the State of Ohio relating to Mechanics Liens on funds for public works, on account

of labor or materials, or both, furnished by the undersigned to or on account of the said firm or

individual named for said building or premises.

Subcontractor hereby acknowledges that he has been fully paid and satisfied.

____________________________

(Subcontractor/Supplier)

By: _________________________

Title: _______________________

Sworn to and subscribed before me, a Notary Public in and for the above-named state and county, this

____ day of _______________ , 20___.

____________________________

(Notary Public)

*All subcontractors and suppliers complete upon receipt of final payment.

Subcontractor / Supplier Final Waiver Of Lien For Material Of Labor Template