FINAL WAIVER OF LIENS
DATE:__________________________ Original Contract Amount: $________________________
Previous Payments: $________________________
Current Payments: $________________________
Contract Balance: $________________________
STATE OF VIRGINIA______________________,
COUNTY/CITY OF ________________________; to wit:
KNOW ALL MEN THAT______________________________________________________________
for and in consideration of, the sum of____________________________________________________________
in payment of invoice or application dated_________________________________________________________
does hereby waive, release and relinquish any and all claims of lien which_______________________________
______________________now has upon the premises known and described as [insert legal description]_______
___________________________________________________________________________________________
for labor, materials and services furnished prior to________________________________________________________
said premises being owned by __________________________________________________________________.
By:____________________________________________
Title:
Subscribed and sworn to before me this ________ day of _________________________, 20___.
____________________________________________
Notary Public
My Commission Expires: ______________________.
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