#2670 @001 Enter the name of the CONTRACTOR: @002 Enter the name of the OWNER: @480/@480/@480/@480 Waiver is regarding: Mechanic's lien Material provider's lien Labor Lien KEY IN VALUE @500 Enter state where this document is being executed: @501 Enter county where this document is being executed: @496 Enter title of book where notice of commencement is recorded: @497 Enter book where instrument was recorded: @498 Enter page where instrument was recorded: #end control section #2670 /* Para. 2670: Waiver of mechanic's lien*/ WAIVER OF @480 STATE OF @500) COUNTY OF @501) WHEREAS, on @001, referred to as CONTRACTOR, is the owner/claimant of that certain @480, acknowledges payment in full of the same, which was recorded at @496 Book, Book @497, page @498 of the @501 County, State of @500, and consents to the release of the property from the lien and satisfaction of the @480 on the record. Dated: ________________________ ___________________________________________ @001 @001, having being duly sworn to tell the truth, acknowledges the execution of this release of @480 for the purposes stated herein. __________________________________________ Officer My commission expires: ___________________