Fill and Sign the Sample Final Release of Lien Conditional Builders Notice Form

Unconditional Waiver and Release of Lien Upon Final Payment Page 1 of 1 Unconditional Waiver and Release of Lien Upon Final Payment - Individual On this _____ day of ________________ , 20 ______ , the undersigned lienor, in consideration of the final payment in the amount of $ __________________ , hereby affirms the undersigned’s waive r and release of his or her lien and right to claim a lien for labor, services or materials furnished through _________________________________ , 20 _____ , to ___________________________ (customer) on the job of __ __________________________ (owner of property) to the following described property: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ______________ ___ . __________________________________ Signature of Lien Holder _____ _____________________________ Type or Print Name Sworn and subscribed to before me this ______ day of ______________________, 20_______. ____________________________ Signature of Notary Public ____________________________ Type or Print Name [Notary Seal] My commissi on expires: ________________ Certificate of Delivery I, _____________________________________, hereby certify that I have delivered this day a true and correct copy of the foregoing to ___________________________________ by: ( ) Personal Service ( ) Registered or Certified Mail, return receipt requested ( ) Mailing a true and correct copy of same by certified U.S. mail, postage prepaid, return receipt requested to ___________________________, who is the lien claimant located at _________________ _____________________. So certified this the ______ day of ___________________, 20____. ________________________ Signature