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Fill and Sign the Wisconsin Unconditional Waiver and Release of Claim of Lien Upon Final Payment Form

Fill and Sign the Wisconsin Unconditional Waiver and Release of Claim of Lien Upon Final Payment Form

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Unconditional Waiver and Release of Lien Upon Final Payment Page 1 of 2Prepared by, recording requested by and return to:Name: ___________________Company: ___________________Address: ____________________City: ___________________State: _____Zip: __________Parcel ID Number: ______________Phone: _________________Fax: __________________----------------------Above this Line for Official Use Only--------------------- UNCONDITIONAL WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT On this _____ day of ________________ , 20______, the undersigned lienor, whose address is ______________________________________________________________________, 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 property located at and described as: ________________________________________________________________________________________________________________________________________________ _______________________________________________________________________ (legal description should include the platting information (if property is platted), or if unplatted, then "metes and bounds" tied into the Public Land Survey System; Public Land Survey Information; municipality (e.g Town, Village or City of Paradise); and county). ______________________________ Signature of Lien Holder ______________________________ Type or Print Name This instrument was drafted by _______________ (name). Unconditional Waiver and Release of Lien Upon Final Payment Page 2 of 2 STATE OF WISCONSINCOUNTY OF ________________This instrument was acknowledged before me this _____ day of ________________, 20_____ by _________________________________. ______________________________Notary Public (Seal, if any) Printed Name: _________________ My Commission Expires: _________________

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