Missouri Waiver of Mechanic's Lien By Contractor

WAIVER OF MECHANIC’S LIEN BY CONTRACTOR
The
undersigned,
______________________,
having
been
employed
by
_________________ as a contractor in the construction of the
(describe
improvements) located on:
Legal Description
SEE ATTACHED APPENDIX “A” AND INCORPORATE HEREIN BY REFERENCE.
Commonly known as:
Parcel #:
for and in consideration of the sum of ________________ Dollars ($___________) and other
valuable consideration, the receipt whereof is hereby acknowledged, does hereby waive and
release any and all lien, claim, or right to lien on the above-described building and premises
under the statutes of the State of Missouri relating to mechanic’s liens, on account of labor or
materials, or both, furnished for the building by the undersigned to or on account of the
[name of contractor or owner].
Witness our hand ________________________ this _________ day of ________________,
2015.
____________________________________
Authorized Agent/Representative/Officer
Claimant
Printed Name & Title:
ACKNOWLEDGMENT BY INDIVIDUAL(S)
State of Missouri
)
) ss
County of «PropertyCounty» )
On this
day of
in the year 2015 before me,
(name of notary), a Notary Public in
and for said state, personally appeared
, known to me to be the person(s) who executed the within WAIVER OF
MECHANIC’S LIEN BY CONTRACTOR, and acknowledged to me that (he/she/they)
executed the same for the purposes therein stated.
On this
day of
in the year 2015, before me
personally appeared
, to me
known to be the person (or persons) described in and who executed the foregoing instrument,
and acknowledged that (he, she or they) executed the same as (his/her or their) free act and deed.
(official signature and official seal of notary.)
Prepared without examination of title by: Patrick W. Walsh, P.C., Attorneys at Law, 625
Plainfield Road, Suite 330, Willowbrook, Illinois 60527, (630) 794-0300; Dennis Chassaniol,
Esq., Of Counsel, St. Charles, Missouri
ACKNOWLEDGMENT BY PARTNERSHIP
State of Missouri
)
) ss
)
County
On this
day of
in the year 2015 before me,
(name of notary), a Notary Public in and for said
state, personally appeared
(name of partner) of
(name of partnership), known to me to be the
person who executed the within WAIVER OF MECHANIC’S LIEN BY CONTRACTOR on
behalf of said partnership and acknowledged to me that he executed the same for the purposes
therein stated.
(official signature and official seal of notary.)
ACKNOWLEDGMENT BY CORPORATE OFFICER
State of Missouri
)
) ss
)
County
On this
day of
in the year 2015before
me,
(name of notary), a Notary
Public in and for said state, personally appeared
(name of officer),
(title of person, president,
vice president, etc.),
(name
of
corporation),
known to me to be the person who executed the within WAIVER OF MECHANIC’S LIEN
BY CONTRACTOR on behalf of said corporation and acknowledged to me that he executed
the same for the purposes therein stated.
On this
day of
appeared
,
2015,
before
me
to me personally known, who, being by me
duly sworn (or affirmed) did say that he is the
(president or other officer or agent of the corporation or association), of
(describing the corporation or association), and that said
instrument was signed and sealed on behalf of said corporation (or association) by authority of
its board of directors (or trustees), and said
acknowledged said instrument to be the free act and deed of said corporation (or association).
(official signature and official seal of notary.)
ACKNOWLEDGMENT BY AN ATTORNEY IN FACT FOR PRINCIPAL OR SURETY
State of Missouri
)
) ss
)
County
On this
day of
, in the year 2015
before me,
(name of notary), a Notary
Public in and for said state, personally appeared
(name
of attorney in fact), Attorney in Fact for
(name
of
principal or surety), known to me to be the person who executed the within WAIVER OF
MECHANIC’S LIEN BY CONTRACTOR on behalf of said principal (or surety), and
acknowledged to me that he executed the same for the purposes therein stated.
On this
day of
, 2015, before me personally appeared
, to me known to be the person who
executed the foregoing instrument on behalf of
, and acknowledged that he executed the same as the free act and deed of
.
(official signature and official seal of notary.)
ACKNOWLEDGMENT BY A PUBLIC OFFICER,
DEPUTY, TRUSTEE, ADMINISTRATOR, GUARDIAN OR EXECUTOR
State of Missouri
)
) ss
)
County
On this
day of
, in the year 2015,
before me
(name of notary), a Notary
Public in and for said state, personally appeared
of person),
(name
,
(person's
official
title) known to me to be the person who executed the within WAIVER OF MECHANIC’S
LIEN BY CONTRACTOR on behalf of
(public corporation, agency, political subdivision or estate) and acknowledged to me that he
executed the same for the purposes therein stated.
(official signature and official seal of notary.)
ACKNOWLEDGMENT BY AN INDIVIDUAL WHO CANNOT WRITE HIS NAME
State of Missouri
)
) ss
)
County
On this
day of
in
before me
the
year
2015,
(name of notary), a Notary
Public in and for said state, personally appeared
(name of individual), known to me to be the person who, being unable to write his name, made
his mark in my presence. I signed his name at his request and in his presence on the within
WAIVER OF MECHANIC’S LIEN BY CONTRACTOR and he acknowledged to me that he
made his mark on the same for the purposes therein stated.
(official signature and official seal of notary.)
ACKNOWLEDGMENT BY A MANAGER OR MEMBER
State of Missouri
County
On this
)
) ss
)
day of
in the year 2015 before me,
(name of notary), a Notary Public in and for said state,
personally appeared
(name
member) of
of
manager
or
(name of limited liability company),
known to me to be the person who executed the within WAIVER OF MECHANIC’S LIEN
BY CONTRACTOR on behalf of said limited liability company and acknowledged to me that
he executed the same for the purposes therein stated.
(official signature and official seal of notary.)
Patrick W. Walsh, P.C.
Attorneys at Law
625 Plainfield Road, Suite 330
Willowbrook, IL 60527
(630) 794-0300
www.walshdocs.com
Dennis Chassaniol, Esq.
Of Counsel
St. Charles, Missouri
INVOICE
Date: August 10, 2015
In reference to: Legal Services for document preparation
File No.: «TitleworxFileNumber»
Order Number: «idRecordID»
NETCO Office: «RequesterOffice»
Date of
Services
8/10/2015
Professional Services
Fee for each document
WAIVER OF MECHANIC’S LIEN BY
CONTRACTOR
For professional services rendered
$65.00
$65.00
Additional Charges
Date of
Services
Services
Charge
Total additional charges
$00.00
TOTAL AMOUNT OF THIS BILL
$65.00
Document Order Approved by:
Client or Agent’s signature
Patrick W. Walsh, P.C.
Attorneys at Law
625 Plainfield Road, Suite 330
Willowbrook, IL 60527
(630) 794-0300
www.walshdocs.com
Dennis Chassaniol, Esq.
Of Counsel
St. Charles, Missouri
DOCUMENT ORDER CONFIRMATION FORM
Date: August 10, 2015
In reference to: Legal Services for document preparation
File No.: «TitleworxFileNumber»
Client has requested attorney to prepare legal documents, without title examination (to wit:
Waiver of Mechanic’s Lien By Contractor) for Client’s real estate transaction. Attorney does not
represent Client in the real estate transaction. Client understands that the attorney fee is $65.001
for each standard document prepared for client regardless of whether the transaction closes. Fee
covers routine document preparation only. The fee does not cover work relating to obtaining
lienholder consent, curing title problems, obtaining title insurance or policy endorsement. Fee does
not include property searches or recording documents. Attorney did not provide any opinions
regarding title, zoning, taxes, easements, restrictions, land use, examination, adequacy of loan
documents, enforceability of loan documents, remedies, or compliance. It is understood and
agreed that financial statement analysis, economic forecasting, or valuation were not addressed
by Mr. Walsh. Similarly, no opinions were given regarding land use laws, usury laws,
environmental laws, taxes or other similar matters. Client(s) realize that if additional services are
sought from Mr. Walsh, the Client(s) and Attorney will determine the scope of such additional
services and the required fees. No additional research or investigation was requested or
performed. Client understands that some documents may not be prepared without additional
information obtained from clients. Further, Client understands that the accuracy of the document(s)
generated depends on the accuracy of the information provided by Client. Client consents to
documents being faxed or e-mailed to the closing location or title company office. Courier delivery
charges are the responsibility of Client.
Date: August 10, 2015
Document order requested by:
Client Signature
Client Signature
Printed Name:
Printed Name:
1
Additional charges may apply if client requests revisions, courier delivery, facsimile delivery or other services not
contemplated by a straightforward document request. Additional charges may also apply if client requests document
preparation within a two-hour time frame. Extra services will be provided only at the request of the client.
Patrick W. Walsh, P.C.
Attorneys at Law
625 Plainfield Road, Suite 330
Willowbrook, IL 60527
(630) 794-0300
www.walshdocs.com
Dennis Chassaniol, Esq.
Of Counsel
St. Charles, Missouri
TERMS & CONDITIONS OF DOCUMENT USE
IF YOU USE THE ATTACHED DOCUMENT(S), YOU AGREE TO ALL OF THE FOLLOWING
TERMS AND CONDITIONS OF USE:
User acknowledges that the above law firm and attorneys do not represent Document User, Purchaser,
Seller, or Borrower in their real estate matter. THERE IS NO ATTORNEY/CLIENT RELATIONSHIP
between attorneys and Document User, Purchaser, Seller, Borrower or any other person or entity. Any
and all fees paid are for routine document preparation only. Fees do not include any services or opinions
relating to obtaining lienholder consent, curing title problems, obtaining title insurance or policy
endorsement. Fees do not include property searches, verification of legal descriptions or recording
documents. Document User, Purchaser, Seller and/or Borrower acknowledge that Attorney did not
provide any opinions or advice regarding title, zoning, taxes, easements, restrictions, land use,
examination, adequacy of loan documents, and enforceability of loan documents, remedies or compliance.
It is understood that financial statement analysis, economic forecasting, or valuation were not addressed
by the above attorneys. Similarly, no opinions or advice were given regarding land use laws, usury laws,
environmental laws, taxes or other similar matters. Document User, Purchaser, Seller and/or Borrower
understand that if additional services are sought from any of the above attorneys, the attorneys will
determine the scope of such additional services and the required fees. No additional research or
investigation was requested or performed. It is understood that some documents may not be prepared
without additional information obtained from Document User, Purchaser, Seller and/or Borrower. It is
further acknowledged that the accuracy of the document(s) generated depends on the accuracy of the
information hereto provided by Document User, Purchaser, Seller and/or Borrower. Document User,
Purchaser, Seller and/or Borrower consents to documents being faxed or e-mailed to the closing location
or title company office. Use of this document is authorized solely for one specific transaction. No person
or entity is authorized to re-use this document for any additional matters or transactions. Courier delivery
charges are the responsibility of Document User, Purchaser, Seller and/or Borrower.
IF YOU DO NOT AGREE TO THE TERMS & CONDITIONS OF DOCUMENT USE, YOU ARE NOT
AUTHORIZED OR PERMITTED TO USE THE DOCUMENT. USE OF THE DOCUMENT
CONSTITUTES ACCEPTANCE OF ALL TERMS & CONDITIONS OF DOCUMENT USE.
Date: August 10, 2015
Document order requested by:
Client Signature
Client Signature
Printed Name:
Printed Name: