STATE OF Enter state where this document is being executed)
COUNTY OF Enter county where this document is being executed)
Enter the name of the CONTRACTOR, referred to as CONTRACTOR, is the owner/claimant of that certain Waiver is regarding, acknowledges payment in full of the same, which was recorded at Enter title of book where notice of commencement is recorded Book, Book Enter book where instrument was recorded, page Enter page where instrument was recorded of the Enter county where this document is being executed County, State of Enter state where this document is being executed, and consents to the release of the property from the lien and satisfaction of the Waiver is regarding on the record.
Enter the name of the CONTRACTOR
Enter the name of the CONTRACTOR, having being duly sworn to tell the truth, acknowledges the execution of this release of Waiver is regarding for the purposes stated herein.
My commission expires: ___________________