CONDITIONAL RELEASE OF LIEN

STATE OF FLORIDA ________________)
COUNTY OF ___________)

KNOW ALL MEN BY THESE PRESENTS:

The undersigned, for and in consideration of the sum of $________ to be received, but not yet received, does hereby release his/her lien, and waive and relinquish the right to claim a lien in the amount of $___________, subject to the condition of payment described below, for labor, services, and materials furnished for improvement of the following described property:

(legal description)

This is a Partial Release of Lien by the undersigned given pursuant to Fla. Stat. § 713.20(3) for the sole purpose of releasing the lien rights up to the amount above stated, and does not waive or release any lien rights in excess of the stated sum.  This Partial Waiver and Release of Lien is conditioned upon payment of the consideration described above.  It is not effective until said payment is received in paid funds. 

            IN WITNESS WHEREOF, I have hereunto set my hand and seal this       day of ________,  20___.

                                                                                BY: _________________________

             The forgoing instrument was acknowledged before me this _____ day of _________________ ,       , by ___________________________________ , who is personally know to me or who has produced ____________________________________ as identification and who did take an oath.

__________________

NOTARY PUBLIC

NAME:
COMMISSION NO:
COMMISSION EXPIRES: