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

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

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UNCONDITIONAL WAIVER AND RELEASE OF LIEN UPON PROGRESS PAYMENT On this _____ day of ________________ , 20 ______ ,the undersigned lienor, in consideration of the sum 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: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ _________________ . This waiver and release does not cover any retention or labor, services, or materials furnished after the date specified. __________________________________ Signature of Lien Holder _____ _____________________________ Type or Print Name STATE OF NEW HAMPSHIRE COUNTY OF _____________________ The instrument was acknowledged before me on ___________________ (date), by _________________________________________ (name(s) of persons). ______________________________ Signature of Notarial Officer (Seal, if any) Printed Name: _________________ Title and Rank:_________________ My Commission Expires: _____________________ Unconditional Waiver and Release of Lien Page 1 of 1

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