Laserfiche WebLink
FINAL WAIVER OF LIEN <br />S 5�111 ��v' �I�� being duly sworn that he/she is the d (AW T y_ <br />(Name of Officer) (Title) <br />of H&H Renovations, Inc. having contracted with City of South Bend <br />(Contractor) (Owner) <br />to furnish certain materials and/or labor as follows: Window and vinyl siding installation at Miami Hills apartments <br />(Description) <br />for a project known as 122-027 Miami Hills TTF Project — Windows and Siding <br />(Name of Project) <br />located at 3534 High Street, South Bend, IN 46614 <br />and owned by Miami Hills MF Il, LLC <br />(Owner) <br />and does hereby further state on the behalf of the aforementioned contractor: <br />FINAL WAIVER that the final balance due from the contractor is the sum of <br />One million five hundred eighty four thousand three hundred five <br />dollars ($ 1,584,305) <br />(Amount Written Out) <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 <br />shall become effective only upon receipt of such payment. <br />THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims <br />whatsoever on the above -described property and improvements thereon an account of labor or material or both, furnished <br />b the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certified that no other <br />party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said <br />project, and within the scope of this Affidavit and Waiver of Lien. _ o <br />H&H Renovations, Inc. <br />(Firm) <br />Date <br />By <br />( (uthorized rese tive) <br />STATE OF ) <br />b <br />SS: <br />hCOUNTY > <br />Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared <br />and acknowledged the execution of the foregoing Waiver of Lien. <br />IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the day of <br />20 <br />My Commission Expires: _J c, yI Z3 Not Public S' nature <br />Residing in (—dI p County <br />OFFICIAL SEAL <br />DAVID HAYLIT <br />NOTARY PUBLIC-GEORGIA <br />COBB COUNTY <br />Notary Public Nam <br />