WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT (Long Form, Unconditional) The undersigned lienor (the "Lienor"), in consideration of the final payment in the amount of $ __________, hereby waives and releases its lien and right to claim a lien for labor, services, or materials furnished to ______________ (name of customer) on the job of _____________________________ (name of owner) ("Owner") to the following described property: _____________________________ ("Project"). The Lienor certifies, under oath, that all lienors, including laborers, subcontractors, materialmen or professionals, have been paid in full for all materials, equipment, fees, licenses, insurances and taxes of every description have been paid, in full, and that there are no liens, causes for liens or claims against the Lienor whatsoever. The Lienor certifies that Lienor will indemnify and save harmless the Owner from any and all manner of claims, liens, suits, losses, costs, expenses and damages, including, but not limited to, reasonable attorney's fees arising out of or resulting from Lienor's failure to pay for any work performed or material supplied under the Contract, and hereby releases forever all claim, title and interest in the Project for the same. The Lienor for value received does hereby release and discharge the Project from any and all liens and claims of lien, equitable or legal, which the undersigned has or may have against the Project for labor, services or materials, and further hereby releases and discharges any and all claims against any Payment Bond applicable to the Project for labor, services or materials. The Lienor warrants that no assignment of claims for payments, rights to perfect a lien against the Project, or claims against the Payment Bond, if any, have been made, and that the undersigned has the authority to execute this Final Waiver of Lien and has performed the labor and services and supplied the materials required of the Lienor. The undersigned has personal knowledge that the statements made herein are true and correct. Dated: . (Lienor's Signature) (Lienor's Address) Witnesses - Not Necessary Acknowledgment - Recommended BAR FORM NO. R-7.6.3 © Florida Lawyers Support Services, Inc. 2008 American LegalNet, Inc. www.FormsWorkflow.com Comments: 1. This form is not the form prescribed for waiver and release of lien upon final payment in Florida Statutes 713.20(5). It should be noted that a person may not require a lienor to furnish a waiver or release of lien that is different from the forms prescribed in subsection (4) or subsection (5) of Florida Statutes Section 713.20. See Florida Statutes 713.20(6). However, a lien waiver or a lien release that is not substantially similar to the forms in Florida Statutes 713.20(4) and 713.20(5) is enforceable in accordance with the terms of the lien waiver or lien release. See Florida Statutes 713.20(8). A lienor who executes a lien waiver and release in exchange for a check may condition the waiver and release on payment of the check. See Florida Statutes 713.20(7). 2. BAR FORM NO. R-7.6.3 © Florida Lawyers Support Services, Inc. 2008 American LegalNet, Inc. www.FormsWorkflow.com