HomeMy WebLinkAboutAffadavit & Waiver of Lien - Eden EnterprisesAFFIDAVIT AND WAIVER OF LIEN
( )FINAL O()PARTIAL
STATE OF INDIANA
COUNTY OF HAMILTON SS:
having contrActed with
(`,t„nht-01 (YV4 owned by
behalf of the aforementioned contractor:
(
)PAYMENT TO FOLLOW
, being duly sworn states that he /she is the
of Eden Enterprises, Inc.
(Company Name)
to furnish materials and/or labor for the project known as
and does herby further state on
61'3 66
PARTIAL WAIVER: That the partial balance due from the contrac
s the sum of:
receipt of which is herby acknowledged; or
dollars $ 'a- )-i31`7
y the payment of which has been promised as the sole consideration for this Affidavit and Partial
Waiver of Lien which shall become effective upon receipt of such payments.
FINAL WAIVER: That the final balance due from the contract is the sum of:
receipt of which is hereby acknowledged; or
dollars $
the payment of which has been promised as the sole consideration for this Affidavit and Final
Waiver of Lien which shall become effective upon receipt of such payments.
Therefore, the undersigned waives and releases unto the Owner /Contractor of said premises, any and all lien or
claim whatsoever on the above described property and improvements theron, on account of labor or material or both,
furnished by the undersigned thereto, and further certifies that no other party has any claim or right to a lien on
account of any work performed or material furnished to the undersigned for said project, and within the scope of this
affidavit and waiver.
Eden Enterprises, Inc.
(Company Name) (Authorized Representative)
WITNESS MY HAND AND NOTARY SEAL, THIS 42 5 DAY OF l� C%(
3/27/08
Commission Expiration Notary Public
Marlon
County of Residence
Andrew Ginter
Printed Signature