Waiver Of Lien {LPB 64-05(ir-l)}
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Waiver Of Lien Form. This is a Washington form and can be use in Limited Practice Board Statewide.
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Tags: Waiver Of Lien, LPB 64-05(ir-l), Washington Statewide, Limited Practice Board
American LegalNet, Inc.www.FormsWorkflow.com LPB 64-05(ir) Page 1 of 2 WAIVER OF LIEN The undersigned, having a right to a lien for labor performed on and/or materials furnished to the following described real estate in County, state of Washington, to-wit: Tax Parcel Number: and desiring to waive and relinquish any and all right to any lien thereon; NOW, THEREFORE, for a valuable consideration, the undersigned does hereby waive any and all right to any lien whatsoever upon the above-described real estate, and each and every portion thereof, for labor performed and/or materials furnished, whether heretofore performed and/or furnished or hereafter to be performed and/or furnished. Dated: American LegalNet, Inc.www.FormsWorkflow.com LPB 64-05(ir) Page 2 of 2 STATE OF ss. COUNTY OF I certify that I know or have satisfactory evidence that (is/are) the person(s) who appeared before me, and said person(s) acknowledged thatsigned this instrument, on oath stated that authorized to execute the instrument and acknowledge it as theof to be the free and voluntary act of such party(ies) for the uses and purposes mentioned in this instrument. Dated: Notary name printed or typed: Notary Public in and for the State of Residing at My appointment expires: STATE OF ss. COUNTY OF I certify that I know or have satisfactory evidence that (is/are) the person(s) who appeared before me, and said person(s) acknowledged thatsigned this instrument and acknowledged it to be free and voluntary act for the uses and purposes mentioned in this instrument.. Dated: Notary name printed or typed: Notary Public in and for the State of Residing at My appointment expires:
