Wisconsin Waiver of Construction Lien
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WAIVER OF CONSTRUCTION LIEN
§779.05, Wis. Stats.

Date: ________________________
1.

Contractor's Name: _________________________________________
Contractor's Address: _______________________________________
___________________________________________________________

2.

Property Improved by Contractor's Work (check one):
Street address:

_____________________________________
_____________________________________
_____________________________________

Legal description attached.
3.

Contractor's Work furnished at request of: __________________________________________

4.

Waiver of lien rights is made for (select one):
The following Work:
(insert description of type of labor and/or materials supplied by Contractor, including percentage
performed, dollar value, and/or dates as necessary to accurately describe the Work being waived, stating
exceptions, if any)

All Work to date of this Waiver.
All past and future Work, including all labor performed and/or material furnished at
any time