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Fill and Sign the Unconditional Waiver and Release of Lien Upon Progress Payment Corporation Form

Fill and Sign the Unconditional Waiver and Release of Lien Upon Progress Payment Corporation Form

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Unconditional Waiver and Release of Lien Upon Progress Payment Page 1 of 1 Unc onditional Waiver and Release of Lien Upon Progress Payment- Corporation On this _____ day of ________________, 20______,the undersigned, as representative of ___________________________________ a ___________________________________ corporate lienor, in consideration of the sum 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: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ _________________. This waiver and release does not cover any retention or labor, services, or materials furnished after the date specified. __________________________________ 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: ____________________

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