Fill and Sign the Waiver of Lien by Corporation or Llc Pennsylvania Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: ___________________ Company: __________________ Address: _____________________ City: _________________ State: _____ Zip: __________ Phone: _______________ Fax: ______________ UPI Number: ________________ Stipulation Against Liens -- Corporation (Pa. Stat. Ann. tit 49, § 1401) COMES NOW, _____________________________________ , as a representative of _________________________________ a __________________________________ corporation that is providing or will provide labor and/or materials for the alteration, repair, erection, or construction of the property located at and described as ________________________________________________________________________ (address should include municipality, ward (if in the city of Pittsburgh), county and state), and would state as follows : 1. The undersigned hereby expressly waives the right to file a lien claim against the above-described property. 2. The total contract price between the owner and the contractor is less than One Million Dollars ($1,000,000.00) 3. Further, if the undersigned is the general contractor for the project, said wavier of lien claim is a waiver by anyone to file a lien claim and shall also be binding upon subcontractors if such subcontractors have been given actual notice before any labor or materials were furnished by the subcontractors or if this Stipulation Against Liens was filed in the office of the prothonotary prior to the commencement of the work upon the ground, within ten (10) days after the execution of the principal contract, or not less than ten (10) days prior to the contract with the claimant subcontractor, indexed in the name of the contractor as defendant and the owner as plaintiff and also in the name of the contractor as plaintiff and the owner as defendant. 4. The undersigned contractor or subcontractor began or will begin supplying labor and/or materials for the alteration, repair, erection, or construction of the above described property on or about the       day of ________________ , 20       . This the       day of ________________ , 20       . Stipulation Against Liens Page 1 of 2 ____________________________ Signature _____ _______________________ Type or Print Name       Title        Corporation Attest: Secretary Acknowledgment of Corporation COMMONWEALTH OF PENNSYLVANIA COUNTY OF _________________ On this, the _____ day of _____________ , 20 ______ , before me a notary public, the undersigned officer, personally appeared _________________________________ , as the ____________________ (type of authority, e.g., officer, trustee, etc.) of __________________________________ (name of party on behalf of whom instrument was executed) known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes therein contained. In witness hereof, I hereunto set my hand and official seal. ___________________________ Notary Public ___________________________ Printed Name (Stamp or Seal) ________________ My Commission Expires: _______________ Stipulation Against Liens Page 2 of 2