Final Waiver Of Lien - Illinois printable pdf download

Final Waiver Of Lien - Illinois

FINAL WAIVER OF LIEN

STATE OF ILLINOIS

)

) SS

COUNTY OF PEORIA )

TO WHOM IT MAY CONCERN:

WHEREAS, the undersigned _________________________________________ha_____ been employed by THE

PEORIA PARK DISTRICT to furnish material and labor for the ______________________________________________

at the premises commonly known as ____________________________________________________________________

located in the City of ________________________, County of Peoria, State of Illinois.

The undersigned, for and in consideration of ______________________________________________________

($_______________) Dollars, and other good and valuable considerations, the receipt whereof is hereby acknowledged,

do______ hereby waive and release any and all lien or claim or right of lien under the statutes of the State of Illinois relating to

mechanics’ liens, with respect to and on said above-described premises and improvements thereon and on the money, funds or

other considerations due or become due from the owner on account of labor or services, material, fixtures, apparatus or machinery

heretofore furnished or which may be furnished at any time hereafter by the undersigned for the above described premises.

Dated this _____________________ day of ___________________________________ 20 _____.

[Affix corporate seal here.]

_________________________________________

(Name of sole owner, corporation or partnership)

ATTEST:

_________________________________ ____________________________________(SEAL)

(Signature of secretary of corporation)

(Signature of sole owner or authorized

representative of corporation or partnership)

________________________________________________________________________________________________________________________________

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Final Waiver Of Lien - Illinois