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

(Insert name of customer)

on the job of

(Insert name of owner)

to the following described property:

(Description of property)

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

DATED on	, .

By:

Lienor