WAIVER OF LIEN 
WAIVER OF LIEN
On
[date]
,
[name of claimant] [city]
, of
[address] [county], [name
, City of State of of owner] materials] [state]
, County of
, entered into a contract with
, to furnish for the
[description of labor and
[construction or work performed] [name of owner] , of [property
on property owned by
address where work was performed], the description of which is as follows:
In consideration of ($
[amount]
Dollars,
), receipt of which is hereby acknowledged, hereby waives any right to claim a mechanic's
[claimant]
lien against the above described property, or any improvements thereon, in order to secure payment for the services he has furnished under the herein mentioned contract.
This waiver has been executed by
[claimant]
voluntarily
and with full knowledge of the rights afforded him under the laws of the State of [state]
Dated:________________________ ______________________
[Signature]