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Fill and Sign the Waiver of Lien Corporation 490206820 Form

Fill and Sign the Waiver of Lien Corporation 490206820 Form

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Waiver of Lien Page 1 of 1 Waiver of Lien --Corporation (Okla. Stat. Ann. § 42-142.1) COMES NOW, ________________________________, as a representative of __________________________________ a ___________________________________ corporation and does hereby acknowledge receipt of payment from __________________________________ in the amount of $______________, which represents payment in full for labor performed and/or materials furnished by the undersigned for the following improvements, _______________________________________________________________________________________________________________________________________________________________________________________________________________________, to the property located at: _______________________________________________________________________. By this document the undersigned lien claimant hereby releases any lien it may have in connection with the above-described property for labor performed and materials furnished. This the _____ day of ________________, 20______. __________________________________ Signature __________________________________ Type or Print Name__________________________________ Title__________________________________ Corporation STATE OF OKLAHOMA COUNTY OF __________________ Subscribed and sworn before me, the undersigned, a Notary Public, in and for said County and State, this the __________ day of _________________, 20___, ___________________________ Notary Public Print Name: _________________ My commission expires: _____________________

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