PARTIAL RELEASE AND WAIVER OF LIEN BY …



|PARTIAL RELEASE AND WAIVER OF LIEN BY SUBCONTRACTOR/SUPPLIER |

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|WHEREAS, the undersigned has been employed by CDI Contractors, LLC, the general contractor, |

|to construct the project commonly known as: | |

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|Now, therefore, be it known that the undersigned, for and in consideration of ($ | |) |

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| |dollars, |

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|to be paid by CDI Contractors, LLC, does hereby grant a partial waiver of lien in the amount of $ (the total amount paid to date |

|including the above amount) on said above described project and premises under the Statutes of the State where the project is constructed, |

|relating to Mechanics’ Liens, on account of labor or material, or both. |

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| |Company Name |

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|BY: | |

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| |(Signed and typed name of authorized Signor) |

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|TITLE: | |

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|DATE: | |

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|STATE of | | |

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|COUNTY of | | |

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|On this | |day of |

|me on the basis of satisfactory evidence to be the person who executed this instrument on behalf of |

|the corporation therein named and acknowledged to me that the corporation executed it. |

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|In witness whereof, I have hereunto affixed my hand and seal as of the date indicated above. |

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| |Notary Public |

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|My Commission Expires: |

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|(Seal) |

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