Missouri Waiver of Mechanic's Lien By Contractor - Free Download
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Missouri Waiver of Mechanic's Lien By Contractor
Missouri Waiver of Mechanic
WAIVER OF MECHANIC’S LIEN BY CONTRACTOR
The undersigned, ______________________, having been employed by
_________________ as a contractor in the construction of the
(describe
improvements) located on:
Legal Description
SEE ATTACHED APPENDIX “A” AND INCORPORATE HEREIN BY REFERENCE.
Commonly known as:
Parcel #:
for and in consideration of the sum of ________________ Dollars ($___________) and other
valuable consideration, the receipt whereof is hereby acknowledged, does hereby waive and
release any and all lien, claim, or right to lien on the above-described building and premises
under the statutes of the State of Missouri relating to mechanic’s liens, on account of labor or
materials, or both, furnished for the building by the undersigned to or on account of the
[name of contractor or owner].
Witness our hand ________________________ this _________ day of ________________,
2014.
____________________________________
Authorized Agent/Representative/Officer
Claimant
Printed Name & Title:
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