(a) PARTIAL UNCONDITIONAL WAIVER | |
I/we have a contract with ................................... to | |
(other contracting party) | |
provide .................... for the improvement to the property described as ............................................., and by signing this waiver waive my/our construction lien to the amount of $.............., for labor/materials provided through ............................. | |
(date) | |
This waiver, together with all previous waivers, if any, (circle one) does does not cover all amounts due to me/us for contract improvement provided through the date shown above. If the improvement is provided to property that is a residential structure and if the owner or lessee of the property or the owner's or lessee's designee has received a notice of furnishing from me/one of us or if I/we are not required to provide one, and the owner, lessee, or designee has not received this waiver directly from me/one of us, the owner, lessee, or designee may not rely upon it without contacting me/one of us, either in writing, by telephone, or personally, to verify that it is authentic. | |
................................. | |
................................. | |
(signature of lien claimant) | |
Signed on: ................ | Address:........................ |
(date) | |
................................. | |
Telephone:...................... | |
DO NOT SIGN BLANK OR INCOMPLETE FORMS. RETAIN A COPY. | |
(b) PARTIAL CONDITIONAL WAIVER | |
I/we have a contract with ..................................... to | |
(other contracting party) | |
provide .................... for the improvement to the property described as:............................................, and by signing this waiver waive my/our construction lien to the amount of $ ..............., for labor/materials provided through................................. | |
(date) | |
This waiver, together with all previous waivers, if any, (circle one) does does not cover all amounts due to me/us for contract improvement provided through the date shown above. This waiver is conditioned on actual payment of the amount shown above. | |
If the improvement is provided to property that is a residential structure and if the owner or lessee of the property or the owner's or lessee's designee has received a notice of furnishing from me/one of us or if I/we are not required to provide one, and the owner, lessee, or designee has not received this waiver directly from me/one of us, the owner, lessee, or designee may not rely upon it without contacting me/one of us, either in writing, by telephone, or personally, to verify that it is authentic. | |
................................. | |
................................. | |
(signature of lien claimant) | |
Signed on: ................ | Address:........................ |
(date) | |
................................. | |
Telephone:...................... | |
DO NOT SIGN BLANK OR INCOMPLETE FORMS. RETAIN A COPY. | |
(c) FULL UNCONDITIONAL WAIVER | |
My/our contract with .......................................... to | |
(other contracting party) | |
provide ..................... for the improvement of the property described as:........................................... has been fully paid and satisfied. By signing this waiver, all my/our construction lien rights against the described property are waived and released. | |
If the improvement is provided to property that is a residential structure and if the owner or lessee of the property or the owner's or lessee's designee has received a notice of furnishing from me/one of us or if I/we are not required to provide one, and the owner, lessee, or designee has not received this waiver directly from me/one of us, the owner, lessee, or designee may not rely upon it without contacting me/one of us, either in writing, by telephone, or personally, to verify that it is authentic. | |
................................. | |
................................. | |
(signature of lien claimant) | |
Signed on: ................ | Address:........................ |
(date) | |
................................. | |
Telephone:...................... | |
DO NOT SIGN BLANK OR INCOMPLETE FORMS. RETAIN A COPY. | |
(d) FULL CONDITIONAL WAIVER | |
My/our contract with .......................................... to | |
(other contracting party) | |
provide ..................... for the improvement of the property described as:.......................................... has been fully paid and satisfied. By signing this waiver, all my/our construction lien rights against the described property are waived and released. | |
This waiver is conditioned on actual payment of ................ . If the improvement is provided to property that is a residential structure and if the owner or lessee of the property or the owner's or lessee's designee has received a notice of furnishing from me/one of us or if I/we are not required to provide one, and the owner, lessee, or designee has not received this waiver directly from me/one of us, the owner, lessee, or designee may not rely upon it without contacting me/one of us, either in writing, by telephone, or personally, to verify that it is authentic. | |
................................. | |
................................. | |
(signature of lien claimant) | |
Signed on: ................ | Address:........................ |
(date) | |
................................. | |
Telephone:...................... | |
DO NOT SIGN BLANK OR INCOMPLETE FORMS. RETAIN A COPY. |
MCL 570.1115