Lien Waiver and Release by ReadyBuiltForms


A form waiver and release of lien rights

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									                            LIEN WAIVER AND RELEASE

        KNOW ALL MEN BY THESE PRESENTS that _______________________,by
its duly authorized representative, for and in consideration of the payment of
______________________________ Dollars ($_________) paid by _______________
____________________________________________ (hereinafter “______________”),
receipt of which is hereby acknowledged, does hereby fully release
___________________ and ________________________________. ("____________")
from any and all claims, demands, damages, causes of action, mechanic's lien claims, and
rights of lien of any kind whatsoever on the following described property and
construction project: Project Name: ______________________________________
Address: __________________________________________________(hereinafter the

        FURTHER, affiant certifies that all subcontractors and material suppliers of the
undersigned have been paid in full for all services, labor, materials and/or supplies and all
payments of wages for labor have been paid in connection with the Project. Affiant shall
hold harmless, defend and indemnify ___________________________ and
_________________________(including the payment of their attorney’s fees and costs)
from and against any and all claims, mechanic’s liens, demands, or obligations for any
alleged unpaid labor, services, and/or materials furnished and/or provided to the Project
and for any other claims, demands or causes of actions asserted against _____________
and ___________________ arising in any manner whatsoever out of affiant’s work on
the Project.


                                              Its: _______________________________


STATE OF OHIO, _____________ COUNTY, SS:

       Before me, a Notary Public in and for said County and State, personally appeared
the above-named ___________________________by____________________, its
_______________, who acknowledged before me that he/she did sign the foregoing
instrument that the same is the free act and deed of said corporation, and the free and
deed of him/her personally and as such officer.

      IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at
___________________, Ohio, this _____ day of ______________, 2_____.

                                            Notary Public

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