UNCONDITIONAL WAIVER AND RELEASE OF LIEN UPON FINAL

UNCONDITIONAL WAIVER AND RELEASE OF LIEN

UPON FINAL PAYMENT

(Pursuant to Florida Statutes Annotated § 713.20)

The undersigned lienor, in consideration of the final payment of $______________, hereby

waives and releases its lien and right to claim a lien for labor, services, or materials furnished to

(insert the name of your customer) on the job of

(insert the name of the owner) to the

following property:

______________________________________________________________________

(description of property)

______________________________________________________________________

DATED on _______________, 20_____ _________________________________________

(Claimant name)

By: ___________________________________

Its: ___________________________________

Address:____________________________

___________________________________

Phone: ____________________________

Fax: _______________________________