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Final Waiver of Lien <br />State of Indiana, County of E LK H A?Z�_ SS: <br />being duly sworn that he/she is the <br />�'(mllme� of off/icer) (Title) <br />of having contracted with E0 T aw <br />(Contractor) (Owner) <br />to furnish certain materials and/or labor as follows: a 0, <br />(Description) <br />for a project known as 715 7 C6 i) <br />(Name of Project) <br />located at <br />So u <br />and owned by <br />(Owner) <br />and does hereby further state, on the behalf of the aforementioned subcontractor/supplier: <br />(PARTIAL WAIVER) that there, is due from the Contractor the sum of <br />Dollars <br />❑ receipt of which is hereby acknowledged; or <br />El the Payment of which lies been promised as the sole consideration for this Affidavit said Final Waiver ofLien which Is given <br />solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the <br />undersigned; <br />10 that th final balance due f ,�,INA� WAT 'III that th, final due frog the contractor <br />o the contractor Is th sum of <br />q V, <br />❑ receipt of which is hereby acknowledged; or <br />the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall <br />become offbotive only upon receipt of such payment. <br />THEREFORE, the undersigned waives and releases unto the Owner of said promises, any and all liens or claims whatsoever <br />on the above -described property and improvements thereon an account of labor or material or both, Airnishod b the undersigned <br />thereto, subject to limitations or conditions expressed herein, if any; and further certified that no other party has any claim or right to a <br />lion on account of any work performed or material ftunished to the undersigned fo aid pr et, and within the scope 'r is Affidavit <br />and Waiver of Lien. <br />4�' <br />BY )KI I - "(, :�' __ , <br />E -1 -c-L-E <br />C <br />(Fim) (Atta is epresentative) <br />STATE OF INDIANA <br />Ss. <br />E LK K COUNTY <br />%Belore me, the undersigned, a Notary Public, In and for said County and State, personally appeared CAKE <br />and acknowledged the execution of the foregoing Affidavit and Waiver of Lion. <br />IN WITNESS 4ryTkIl REOF, I have hereunto subscribed my name and affixed my official seal on the L day of <br />tary Public Signature <br />k �ru' t" <br />My Commission Expires: IAN fQC�QAP <br />N ROP <br />Residing in Lqqt A P_ T- County, 1) 1 A Notary PublOftip <br />ELKHART COUNTY, STATE OF INDIANA <br />MY COMMISSION EXPIRES FEBRUARY 12.2026 <br />COMMISSION NO. 710399 <br />