WAIVER OF LIEN

On   [date]   ,   [name of claimant]    , of   [address]
           , City of   [city]   , County of    [county],
State of  [state]  , entered into a contract with  [name
of owner]   , to furnish     [description of labor and
materials]   for the   [construction or work performed]
on property owned by   [name of owner]  , of   [property
address where work was performed], the description of which
is as follows:

In consideration of     [amount]              Dollars,
($       ), receipt of which is hereby acknowledged,
[claimant]  hereby waives any right to claim a mechanic's
lien against the above described property, or any
improvements thereon, in order to secure payment for the
services he has furnished under the herein mentioned
contract.

This waiver has been executed by  [claimant]  voluntarily
and with full knowledge of the rights afforded him under
the laws of the State of     [state]

Dated:________________________
                                  ______________________
                                        [Signature]