WAIVER AND RELEASE OF LIEN

UPON FINAL PAYMENT

The undersigned lienor, in consideration of the final payment in the amount of $____________________, hereby waives and releases its lien and right to claim a lien for labor, services, or materials furnished to

(Insert name of customer)

on the job of

(Insert name of owner)

to the following described property:

(Description of property)

DATED on	, .

By:

Lienor