Partial Waiver Of Lien Form - State Of Texas printable pdf download

PARTIAL WAIVER OF LIEN

STATE OF TEXAS

COUNTY OF HARRIS

TO WHOM IT MAY CONCERN:

WHEREAS the undersigned has been employed by LEVEL COMMERCIAL, INC. to furnish

___________________________ services for the premises known as located at

_________________________________________________________

_ of which

________________________________________ is the owner.

THE undersigned, for and in consideration of ___________________________________

($_________) Dollars, and other good and valuable consideration, the receipt whereof is

hereby acknowledged, do(es) hereby waive and release any and all lien or claim of, or right

to, lien, under the statutes of the State of Texas relating to mechanics’ liens, with respect to

and on said above-described premises, and the improvements thereon, and on the

material, fixtures, apparatus or machinery furnished, and on the moneys, funds or other

considerations due or to become due from the owner, on account of labor services,

material, fixtures, apparatus or machinery heretofore furnished, or which may be furnished

at any time hereafter, by the undersigned for the above described-premises.

DATE _________________

COMPANY:

________________________

ADDRESS:

________________________

SIGNATURE AND TITLE: __________________________________________________

NOTE: All waivers must be for the full amount paid. If waiver is for a corporation, corporate

name should be used and title of officer signing waiver should be set forth; if waiver is for a

partnership, the partnership name should be used, partner should sign and designate

himself as partner.

That there are no other contracts for said work outstanding, and that there is nothing due or

to become due to any person for material, labor or other work of any kind done upon or in

connection with said work other than above stated.

Sworn and subscribed before me on the ______ day of __________________, 2012.

________________________________

Notary Public in and for the State of Texas

PA/INV#_______

Partial Waiver Of Lien Form - State Of Texas