WAIVER AND RELEASE OF LIEN UPON PROGRESS PAYMENT


The undersigned Lienor, in consideration of the progress payment in the amount of $__________,  hereby waives and releases its lien and right to claim a lien for labor, services or materials furnished through (date) ____________________ to (customer) _________________________  on the job of _________________________ (owner of property) to the following described property:

Job Name:__________________________________________________________________
Job Address:________________________________________________________________
Legal Description:____________________________________________________________
__________________________________________________________________________ __________________________________________________________________________

This waiver and release does not cover any retention or labor, services, or materials furnished after the date specified.


DATED on ____________________


                                                                     Company Name _________________________



                                                                         By __________________________________
                                                                         Printed Name __________________________
                                                                         Title:_________________________________