SAMPLE-Final Release of Lien Conditional

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CONTINGENT WAIVER AND Release of lien UPON final PAYMENT The undersigned lienor, in consideration of the final payment in the amount of $____________, hereby waives and releases its lien and right to claim of lien for labor, services or materials to ___________________________ on the job of __________________________, to the following described property: ________________________________________ ____________ ________________________________________ ____________ This lien waiver is contingent upon the receipt of a check in the amount of $____________ and upon clearance of the aforementioned. Dated this ______ day of ______________, 20_____ Lienor s Name: _______________________________ Address: _______________________________ _______________________________ By: _______________________________ Printed Name: _______________________________ The foregoing instrument was acknowledged before me this _______ of ______________, 20______ , by __________________________________ who is personally known to me or who has produced ______________________ as identification and who did take an oath.

CONTINGENT WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT The undersigned lienor, in consideration of the final payment in the amount of $_____, hereby waives and releases its lien and right to claim of lien for labor, services or materials to

  Line, Release, Final, Conditional, Final release of lien conditional, Release of lien, Of lien