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Mechanic’s Lien Waiver QUESTIONNAIRE

    Please use the EXACT legal name for each company and/or entity (including your own) as it appears on the Secretary of State's Records. Here is the link to the Ohio Secretary of State's business search tool.

    INTRODUCTORY INFORMATION

    PartialUnconditional

    WAIVING PARTY INFORMATION

    YesNo
    YesNo

    WAIVER INFORMATION

    $
    $
    YesNo

    If there is more than one unpaid claim, provide each additional claimant's name, address, and amount owed in the "Additional Comments" section below

    $

    PROPERTY INFORMATION

    ADDITIONAL COMMENTS

    Firm Secure DropBox: Upload PDF or Word document version of necessary documents to our secure dropbox located at this link.

    "Necessary Documents" may include:

    • Notice of Furnishing
    • Notice of Commencement
    • Contracts and Agreements
    • Invoices

    Please note: Multiple documents may be submitted at once simply by using either the"Shift" or "Ctl" keys.