Final Waiver Of Lien - Illinois (Page 3 of 4) in pdf

Final Waiver Of Lien - Illinois Page 3

SUB-CONTRACTOR'S FINAL WAIVER OF LIEN

STATE OF ILLINOIS

)

) SS

COUNTY OF PEORIA )

TO WHOM IT MAY CONCERN:

HEREAS, the undersigned ______________________________________________________________________

(sub-contractor)

ha____ been employed by _______________________________________________________________________________

(general contractor)

to furnish material and labor for the __________________________________________________________________ at the

premises commonly known as __________________________________________, 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, on the 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.]

ATTEST:__________________________________

_________________________________________

(Name of sole owner, corporation or partnership)

_________________________________________ __________________________________(SEAL)

(Signature of sole owner or authorized

(Signature of secretary of corporation)

representative of corporation of partnership)

________________________________________________________________________________________________________________________________

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Final Waiver Of Lien - Illinois Page 3