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Fill and Sign the Ia Lien 497304987 Form

Fill and Sign the Ia Lien 497304987 Form

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Waiver of Lien-Corporation (Iowa Code § 572.14) State of Iowa County of _______________ COMES NOW, ________________________________ , as a representative of ________________________________ a _______________________________ corporation and does hereby acknowledge receipt of payment from _____________________________________ in the amount of $ ________________ , which represents payment in full for labor performed and/or materials furnished by the undersigned for the following improvements, ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ to the property located at: _______________________________________________________________________ . By this document the undersigned lien claimant hereby releases any lien it may have in connection with the above - described property for labor performed and materials furnished. This the _____ day of ________________ , 20 ______ __________________________________ Signature _____ _____________________________ Title _____ _____________________________ Corporation STATE OF IOWA COUNTY OF __________________ Signed and sworn to (or affirmed) before me, the undersigned, a Notary Public, in and for said County and State, this __________ day of _________________, 20___, by _____________________ (name(s) of person(s) making statement). ___________________________ Notary Public Type or Print Name:_____________ Title or Rank: __________________ My commission expires: _____________________ (SEAL) Wavier of Lien Page 1 of 1

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