Chicago Title NCS Chicago: SYFCREC 2021

WAIVER OF LIEN TO DATE STATE OF Gty# } SS COUNTY OF Escrow# ______________________________ TO WHOM IT MAY CONCERN: WHEREAS the undersigned has been employed by ___Daring Developer____________________________________________ to furnish ___Architectural Services____________________________________________ for the premises known as ____123 ABC Road, Chicago, IL 60622______________________________________ of which __Daring Developer_______________________________________ _______is the owner. THE undersigned, for and in consideration of ___twenty five thousand dollars_____ ($ 25,000.00) Dollars, and other good and valuable consideration, the receipt whereof is hereby acknowledged, do(es) hereby waive and release any and all lien or claim of, or right to, lien, under the statues of the State of _IL_ , relating to mechanics’ liens, with respect to and on said above -described premises, and the improvement thereon, and on the material, fixtures, apparatus or machinery furnished, and on the moneys, funds or other considerations due or to become due from the owner, on account of all labor services, material, fixtures, apparatus or machinery, furnished to this date by the undersigned for the above-described premises, INCLUDING EXTRAS.* DATE __9/30/21___ COMPANY NAME _Amazing Architects_______ ADDRESS 98 Lacy Lane, Chicago, IL 60640 SIGNATURE AND TITLE _______________________________________________________________________________ *EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE ORDERS, BOTH ORAL AND WRITTEN, TO THE CONTRACT. ____________________________________________________________________________________________________ STATE OF CONTRACTOR’S AFFIDAVIT } SS COUNTY OF TO WHOM IT MAY CONCERN: THE UNDERSIGNED, (NAME) _Samantha Samuels___________BEING DULY SWORN, DEPOSES AND SAYS THAT HE OR SHE IS (POSITION) ___CFO________________________ OF (COMPANY NAME) __Amazing Architects_____WHO IS THE CONTRACTOR FURNISHING __Architectural Services___________WORK ON THE BUILDING LOCATED AT __123 ABC Road, Chicago, IL 60622__________________________________ OWNED BY _Daring Developer______________________________________________________________________ That the total amount of the contract including extras* is $ 250,000___ on which he or she has received payment of $0.00__ prior to this payment. That all waivers are true, correct and genuine and delivered unconditionally and that there is no claim either legal or equitable to defect the validity of said waivers. That the following are the names and addresses of all parties who have furnished material or labor, or both, for said work and all parties having contracts or sub contracts for specific portions of said work or for material entering into the construction thereof and the amount due or to become due to each, and that the items mentioned include all labor and material required to complete said work according to plans and specifications: ____________________________________________________________________________________________________ NAMES AND ADDRESSES WHAT FOR CONTRACT PRICE INCLDG EXTRAS* AMOUNT PAID THIS PAYMENT BALANCE DUE _Amazing Architects ____________ _Architect __ _200,000___ _____$0__ ___$25,000_ __$175,000_ 98 Lacy Lane, Chicago, IL 60640__________ ______________ ___________ _________ __________ __________ _Super Sub-Consultant_________ _Sub-consultant_ _50,0000___ ____$0___ ____$0______ __$50,000__ 11 N Mountain Ave, Evanston, IL _____________________________ ______________ ___________ __________ __________ __________ _____________________________ ______________ ___________ __________ __________ __________ _____________________________ ______________ ___________ __________ __________ __________ TOTAL LABOR AND MATERIAL INCLUDING EXTRAS* TO COMPLETE __250,000___ ____$0______ ____$0______ _$225,000__ That there are no other contracts for said work outstanding, and that there is nothing due or to become due to any person for material, labor or other work of any kind done or to be done upon or in connection with said work other than above stated. DATE __________________________________________ SIGNATURE _____________________________________ SUBSCRIBED AND SWORN TO BEFORE ME THIS _______________________ DAY OF _________________, 20_____. _____________________________________________ NOTARY PUBLIC *EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE ORDERS, BOTH ORAL AND WRITTEN, TO THE CONTRACT. 95