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Fill and Sign the Unconditional Waiver and Release of Lien Upon Final Payment Nebraska 497318046 Form

Fill and Sign the Unconditional Waiver and Release of Lien Upon Final Payment Nebraska 497318046 Form

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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: ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ __________________________________ Signature of Lien Holder _____ _____________________________ Type or Print Name State of Nebraska 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), on behalf of the corporation. Signature       Title or Rank Serial Number, if any:             Type or Print Name Unconditional Waiver and Release of Lien Page 1 of 1

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