2008 Lien Waiver
2008 Lien Waiver
(Partial)
STATE OF ___________________
COUNTY OF ___________________
The undersigned, being duly sworn, deposes and states as set forth below.
2. Except as listed below, and except as to applicable retainages, if any, all labor, services and materials
furnished on the Property through the last date of the previous Application for Payment submitted by the undersigned have been
paid in full.
3. Effective upon receipt of $_________________ in payment of the amount owed, and except as to applicable
retainages, if any, the undersigned, for itself and any person or entity with which it has contracted for any portion of the labor or
materials supplied pursuant to the undersigned's contract referenced above or claiming under or through the undersigned, forever
waives, releases and relinquishes any and all claims or rights of lien, liens, and claims of whatever kind, in law or equity, that the
undersigned and any person or entity with which it has contracted for any portion of the labor or materials supplied pursuant to
the undersigned's contract referenced above or claiming under or through the undersigned, may now or in the future have against
the Owner of the Property or its affiliated companies, officers, directors, shareholders, agents, employees, representatives,
sureties, trustees, successors and assigns or against the Property or against the monies due or to become due on account of or in
any way connected with labor, services and materials furnished on the Property through the date of this affidavit.
___________________________________________________
(name of contractor)
STATE OF ___________________
COUNTY OF ___________________
___________________________________________________
Notary Public
My commission expires:
______________________, 20______
General Contractor
(Final)
STATE OF ___________________
COUNTY OF ___________________
The undersigned, being duly sworn, deposes and states as s et forth below.
2. Except as to applicable retainages, if any, all labor, services and materials furnished on the Property through
the last date of the previous application for payment submitted by the undersigned have been paid in full.
3. Effective upon receipt of $_________________, the undersigned, for itself and any person or entity with
which it has contracted for any portion of the labor or materials supplied pursuant to the undersigned's contract referenced above
or claiming under or through the undersigned, forever waives, releases and relinquishes any and all claims or rights of lien, liens,
and claims of whatever kind, in law or equity, that the undersigned and any person or entity with which it has contracted for any
portion of the labor or materials supplied pursuant to the undersigned's contract referenced above or claiming under or through
the undersigned, may now or in the future have against the Owner of the Property or its affiliated companies, officers, directors,
shareholders, agents, employees, representatives, sureties, trustees, successors and assigns or against the Property or against the
monies due or to become due on account of or in any way connected with labor, services and materials furnished on the Property
through the date of this affidavit.
___________________________________________________
(name of contractor)
STATE OF ___________________
COUNTY OF ___________________
___________________________________________________
Notary Public
My commission expires:
______________________, 20______