Unconditional Waiver Of Mechanics Lien Form printable pdf download

Unconditional Waiver Of Mechanics Lien Form

UNCONDITIONAL WAIVER OF MECHANIC’S LIEN

TO ALL WHOM IT MAY CONCERN:

The undersigned, in consideration of the sum of $ ____________, the receipt and sufficiency of

which is hereby acknowledged does hereby waive, release and relinquish any and all liens and claims for

liens for labor or work performed and/or material furnished to the construction project commonly

known as ___________________________________________ located at _______________________

And owned by __________________________________________

The individual signing this lien waiver on behalf of the undersigned hereby warrants that he/she

has full authority to execute this lien waiver. _____________ __, 2011

_________________________________

By: ______________________________

Its: ______________________________

STATE OF OHIO

}

COUNTY OF _________}

Be it Remembered that on this _____ day of ________________, 2011 before me, the

subscriber, a Notary Public in and for said County and State, personally appeared by, _______________,

its ___________, who acknowledged that he/she did execute the foregoing instrument and that such

execution is his/her and its free and voluntary act and deed for the uses and purposes described herein.

IN TESTIMONY THEREOF, I have hereunto signed my name and affixed my official seal on the day

and year aforesaid.

______________________________________

Notary Public

Unconditional Waiver Of Mechanics Lien Form