| Waiver of Lien
TO WHOM IT MAY CONCERN AND TO _____________________________________;
For good and valuable consideration, receipt of which is hereby acknowledged, the undersigned hereby waives and releases any and all mechanic's liens, claims or rights of liens and all rights acquired by the undersigned to file mechanics' liens or other liens or claims upon the real property situate in the County of __________________________, State of __________________, described as
on account of labor or services performed at or materials furnished or delivered to the real property above described or any building, construction or improvement thereon by the undersigned to this date.
Dated this _______________day of ____________________, 20_____.
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