Fill and Sign the Unconditional Lien Final Payment Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: _____________________ Company: _____________________ Address: _______________________ City: ____________________ State: _____ Zip: _________ Phone: _________________ Fax: ___________________ UNCONDITIONAL WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT On this _____ day of ________________ , 20 ______ , the undersigned lienor, in consideration of the final payment in the amount of $ __________________ , hereby waives and releases 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: ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ (if using the description contained in or shown by one or more maps, plats, descriptions, deeds, mortgages or other instruments of record in the office of the county clerk of the county in which the affected real estate is located, the description must include the time and place of filing or recordation of the instrument containing the description referred to, or other similar information, to locate and identify the instrument containing the description). __________________________________ Signature of Lien Holder _____ _____________________________ Type or Print Name Unconditional Waiver and Release of Lien Page 1 of 2 State of New Mexico County of __________________ This instrument was acknowledged before me, on the ______ day of __________________ , 20 ______ , by ____________________________________ . (SEAL) Notary Public My commission expires:       Type or Print Name Unconditional Waiver and Release of Lien Page 2 of 2