Fill and Sign the Michigan Release Lien Form

FULL CONDITIONAL WAIVER OF LIEN--CORPORATION (M.S.A. § 570.1115(9)(d)) COMES NOW, _____________________________ , a _____________________________ corporation having entered into a contract with _______________________________ to provide ________________________________________________________________________ (description of work and/or materials) for the improvement of the property described as ________________________________________________________________________ has been fully paid and satisfied. By signing this waiver, all my/our construction lien rights against the described property are waived and released. This waiver is conditioned on actual payment of $ ______________ . If the improvement is provided to property that is a residential structure and if the owner or lessee of the property or the owner's or lessee's designee has received a notice of furnishing from me/one of us or if I/we are not required to provide one, and the owner, lessee, or designee has not received this waiver directly from me/one of us, the owner, lessee, or designee may not rely upon it without contacting me/one of us, either in writing, by telephone, or personally, to verify that it is authentic. This the _____ day of _____________ , 20 _______ . ________________________ Lien Claimant _____ ___________________ Type or Print Name _____ ___________________ Title _____ __________________ Corporation _____ ___________________ ________________________ Address _____ ___________________ Telephone DO NOT SIGN BLANK OR INCOMPLETE FORMS. RETAIN A COPY . MI § 570.1115 Full Conditional Waiver of Lien Page 1 of 1