Release Of Lien Form - Partial - Rpr Construction printable pdf download

RELEASE OF LIEN – PARTIAL

On ________________ the State of Texas, County of Smith, RPR Construction Company, Inc., entered into

contract with the undersigned __________________________________________________ to furnish labor and/or

materials and/or equipment in connection with certain improvements to real property located in

_________________

County,

Texas,

specifically

located

____________________________________________ and Owned by ___________________ such improvements

being known as ________________________________ or which RPR Construction Company, Inc. is the General

Contractor.

The labor and/or material and/or equipment furnished by the undersigned are described as

_______________________ and referred to hereinafter as the “work”.

Based on receipt of __________________________________________________________________ DOLLARS,

($_________________________) for the work furnished, the sufficiency of which is acknowledged, the

undersigned does hereby waive and release any mechanic’s lien or materialmen’s lien or claims of lien, including

any constitutional lien or claim thereto, property and/or improvements thereon account of any work furnished or to

be furnished by the undersigned, its materialmen, suppliers and subcontractors.

The undersigned further certifies and warrants that all outstanding bills, claims, charges and obligations incurred by

the undersigned with materialmen, laborers, subcontractors or other persons who would be entitled to assert a claim

under applicable law against the real property have been paid in full or will, by these proceeds, be paid in full for

work done or materials furnished through date of this release. The undersigned agrees to indemnify and hold RPR

Construction Company, Inc. and Owner harmless from any and all claims, liens actions or causes of action arising

out of or having to do with the failure of the undersigned to make the payments called for under this paragraph or

for any portion of this paragraph that is untrue. The undersigned acknowledges that Company is relying upon the

representations contained in this Release and would not have released the funds identified in this Release to the

undersigned but for this Partial Release of Lien.

____________________________________

(Company Name)

(Signature)

____________________________________

(Address)

(Printed Name & Title)

____________________________________

(Date)

Check One:

[ ] Individual

[ ] Partnership

[ ] Corporation

Before me, the undersigned, personally appeared _____________________________________________________

on this day, known to me to be the person whose name is subscribed to the foregoing instrument and acknowledged

to me that he/she executed the same for the purposes and consideration therein expressed and upon being duly

sworn, stated that he/she has read the foregoing instrument and it is true and correct.

Subscribed and sworn before me this ___________________ day of __________________________ , 20______

Notary Public: _________________________________ in and for _____________________________(County)

___________________________ (State).

My Commission Expires: __________________________________

(Seal)

Release Of Lien Form - Partial - Rpr Construction

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