VA Final Waiver of Liens

FINAL WAIVER OF LIENS

 

DATE:__________________________        Original Contract Amount:       $________________________

                                                               Previous Payments:                $________________________

                                                               Current Payments:                 $________________________

                                                               Contract Balance:                   $________________________

STATE OF VIRGINIA______________________,

COUNTY/CITY OF ________________________; to wit:

KNOW ALL MEN THAT______________________________________________________________

for and in consideration of, the sum of____________________________________________________________

in payment of invoice or application dated_________________________________________________________

does hereby waive, release and relinquish any and all claims of lien which_______________________________

______________________now has upon the premises known and described as [insert legal description]_______

___________________________________________________________________________________________

for labor, materials and services furnished prior to________________________________________________________

said premises being owned by __________________________________________________________________.

By:____________________________________________

Title:

Subscribed and sworn to before me this ________ day of _________________________, 201___.

                                                                                           ____________________________________________

Notary Public

                                                                                     My Commission Expires: ______________________.

No guidelines are available for this form at this time.