Florida Partial Conditional Lien Waiver

WAIVER AND RELEASE OF LIEN UPON PROGRESS PAYMENT

The undersigned 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 ________________________ to _____________________________ on the job of ____________________ to the following described property:_____________________________________________________

 

 

 

This waiver and release does not cover any retention or labor, services, or materials furnished after the date specified.

 

 

 

DATED on:___________, by__________

 

 

 

Name and Address of Lienor

By:

Sworn to (or affirmed) and subscribed before me this _____ day of ____________, 20____, by ________________________.

 

Notary Public

Print name:


Personally Known [    ]
OR
Produced Identification [    ]
Type of Identification Produced ____________________________

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