Fill and Sign the Unconditional Release Final Payment Form

Unconditional Waiver and Release of Lien Upon Final Payment- Corporation On this _____ day of ________________ , 20 ______ , the undersigned, as representative of ___________________________________ a ___________________________________ corporate lienor, in consideration of the final payment in the amount of $ __________________ , hereby waives and releases its 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 _____ _____________________________ Type or Print Name       Title       Corporation STATE OF MAINE COUNTY OF __________________ The foregoing instrument was acknowledged before me this _____________________ (date) by _________________________________________ (name of officer or agent, title of officer or agent) of _____________________________ (name of corporation acknowledging) a _____________________________________ (state or place of incorporation) corporation, on behalf of the corporation. ___________________________________ Signature of Notary Public ___________________________________ Name of Notary Public Notary Public, State of Maine My commission expires: ____________________ Unconditional Waiver and Release of Lien Upon Final Payment Page 1 of 1