Builders Lien Release Form

							           WAIVER AND RELEASE OF LIEN UPON
                 PROGRESS PAYMENT
The undersigned lienor, in consideration of the sum of __________, hereby waives and
releases its lien and right to claim of lien for labor, services of materials furnished through
___________ to _______________________ on the job of ________________________,
to the following described property:

             ____________________________________________________

             ____________________________________________________



Dated: ____________________

Lienors 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.


                                        ______________________________________
                                        NOTARY PLUBLIC, STATE OF __________

                                        My Commission Expires: _________________



Note: This is a statutory form prescribed by section 713.20, Florida Statutes (1996)
Effective October 1,1996, a person may not require a lienor to furnish a waiver or release
of lien that is different from the statutory form.