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Mechanic'S Lien Waiver

Mechanic’s Lien Waiver

Effective Date

____/____/______

The Lienholder

[Legal Name], AKA (The Lienholder)

Located at

[Address]

[City], [State] [Zip Code]

Has performed services for and / or provided materials to:

[Legal Name]

Located at

[Address]

[City], [State] [Zip Code]

Under an agreement dated ____/____/______.

Work done description:

_____________________________________________________________________________

The above mentioned Lienholder, in consideration of receiving payment for labor and / or

materials provided, does hereby release the above listed property and / or completed

improvements located on the property from any and all liens, rights, or claims that are

statutory or of another nature, that the Lienholder may have due to the provision of labor and /

or materials for the property improvement.

The Lienholder further acknowledges that this waiver releases the Lienholder’s rights under the

laws of the State of __________________, and also understands that the execution of this

waiver is voluntary by the Lienholder.

_________________________________________________________

Date____________

Signature of Lienholder

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Mechanic'S Lien Waiver