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Get First American Final Waiver of Lien & Contractors Affidavit

First American Title Insurance Company 27775 Diehl Road Suite 200 Warrenville IL 60555 Phone 866 831-2341 Fax 866 799-6770 FINAL WAIVER OF LIEN AND CONTRACTOR S AFFIDAVIT State of Order No County of THE UNDERSIGNED BEING duly sworn deposes and says that he/she is of and has been employed by the owner. That the total amount of the contract including extras is on which he has received payment of prior to this payment. That all waivers are true correct and genuine and delivered unconditionally and that there is no claim either legal or equitable to defeat the validity of said waivers. That the following are the names of all parties who have furnished material or labor or both for said work and all parties having contracts or sub contract s for specific portions of said work or for material entering into construction thereof and the amount due or become due to each and that the items mentioned include all labor and material required to complete said work according to plans and specifications Name What for Contract Price Amount Paid This Payment Balance Due That there are no other contracts for said work outstanding and there is nothing due or to become due to any person for material labor or other work of any kind done or to be done upon or in connection with said work other than above stated* the receipt whereof is hereby acknowledged do es hereby waive and release any and all lien or claim of or right to lien under the Statutes of the State of Illinois relating to mechanic s liens with respect to and on said above described premises and the improvement thereon and on the material fixtures apparatus or machinery furnished and on the monies funds or other considerations due or to become due from the Owner on account of labor 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 including extras as heretofore described* NOTE All waivers must be for the full amount paid* If waiver is for a corporation the corporate name should be used and the title of the officer signing waiver should be set forth. If waiver is for a partnership the partnership name should be used a partner should sign and designate himself as Partner. Signed this day of Signature Subscribed and sworn to before me this day of Notary Signature Notary Seal Notary Public. That the total amount of the contract including extras is on which he has received payment of prior to this payment. That all waivers are true correct and genuine and delivered unconditionally and that there is no claim either legal or equitable to defeat the validity of said waivers. That all waivers are true correct and genuine and delivered unconditionally and that there is no claim either legal or equitable to defeat the validity of said waivers. That the following are the names of all parties who have furnished material or labor or both for said work and all parties having contracts or sub contract s for specific portions of said work or for material entering into construction thereof and the amount due or become due to each and that the items mentioned include all labor and material required to complete said work according to plans and specifications Name What for Contract Price Amount Paid This Payment Balance Due That there are no other contracts for said work outstanding and there is nothing due or to become due to any person for material labor or other work of any kind done or to be done upon or in connection with said work other than above stated* the receipt whereof is hereby acknowledged do es hereby waive and release any and all lien or claim of or right to lien under the Statutes of the State of Illinois relating to mechanic s liens with respect to and on said above described premises and the improvement thereon and on the material fixtures apparatus or machinery furnished and on the monies funds or other considerations due or to become due from the Owner on account of labor 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 including extras as heretofore described* NOTE All waivers must be for the full amount paid* If waiver is for a corporation the corporate name should be used and the title of the officer signing waiver should be set forth. .

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