5-Final Waiver and Release of Lien.pdf
PDF 178 KB Posted
- Solicitation number
- 26-126
- Issued by
- Marion County, Florida
About this file
This is a Final Waiver and Release of Lien form prescribed by Florida Statute Section 713.20 for use by the Marion County Board of County Commissioners in connection with the SW 38th Avenue/SW 3rd Street/SW 40th Avenue Resurfacing Project in Florida. The project involves milling and resurfacing of existing roadway, installation and restriping of pavement markings, and sodding of roadway shoulders extending from SW 38th Court to SR 40 (W Highway 40). The form serves as a statutory document that lienors must complete and notarize upon receipt of final payment to waive and release their lien rights for labor, services, or materials furnished to the project.
The waiver form includes a blank field for the final payment amount and requires the lienor to provide their name, address, and signature with notarization before a notary public. Florida law permits lienors to condition the waiver upon clearance of the payment check, rendering the release null and void if collected funds are not received upon deposit. As of October 1, 1996, contractors and suppliers cannot be required to furnish a waiver or release of lien that differs from this statutory form, ensuring standardized documentation for final payment releases on Marion County projects.
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Text version
FINAL WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT
The undersigned 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 Marion County Board of County Commissioners (OWNER) to the following described property (insert project name and information below):
Sworn before me this ________ day of __________________________, 20____.
Lienor’s Name: ___________________________________ Address: ___________________________________
By: ___________________________________ Printed Name: ___________________________________
STATE OF FLORIDA
COUNTY OF ______________________
Sworn to and subscribed before me this ________ day of _______________________, 20____ appeared ___________________________ (print name) whom is personally known or produced _____________________________ identification ________________________ (DL # :).
____________________________________________ [SEAL]
Notary Public
My Commission Expires: ____________________
NOTE: The Waiver and Release of Lien may be conditioned upon clearance of the check tendered in payment of the amount stated therein by adding the following or similar language: ‘This release is conditioned upon clearance of the check tendered by _____________________________, in payment of the amount stated herein. If collected funds are not received by lienor upon deposit of the check tendered, this Waiver and Release is null and void’. This is a statutory form prescribed by Section 713.20, Florida Statues (1996). Effective October 1, 1996, a person may not require a lienor to furnish a waiver or release of lien that is different from the statutory form.
END OF FINAL WAIVER
File details come from the government source that posted it. Updated .