RECORD AND RETURN TO:
_________________________
WAIVER OF MECHANICS’ LIENS TO LIENS
KNOWN ALL MEN BY THESE PRESENTS, that we, the undersigned, have commenced or are about to commence to render services, to perform work, or to furnish materials in the construction, raising, removal or repair of a building or any of its appurtenances upon, or in the improvement of a lot, or in the site of development or subdivision of a plot of land, on certain real property owned by
_____________ known as _______________ in the Town/City of _________________, Connecticut.
NOW THEREFORE, in consideration of one dollar ($1.00) and other valuable consideration in consideration of any title insurance company issuing its title insurance policy or policies insuring one or more interests in said lot, land, buildings or appurtenances, or a portion thereof, for the purpose of enabling financing and/or sale thereof, and, recognizing the title company’s reliance upon the waivers herein contained, without taking exception for lien rights which the undersigned have or may have for the furnishing of labor or materials, or both, on said real property received by each of us to our full satisfaction and in order to enable said OWNER to obtain a loan from _______________ or any other institutional lender receiving a first mortgage, and to secure the payment thereof by granting to said lender a mortgage on said real property, we, the undersigned, do hereby severally subordinate to the lien of said mortgage all of the several liens and claims of lien which we may have, or may hereafter h land, buildings and appurtenances pursuant to the laws of the State of Connecticut, by virtue of said services rendered, work performed or materials furnished, heretofore and hereafter, upon said lot, land, building and appurtenances, whether completed ro still in the process of construction.
IN WITNESS WHEREOF, we have hereunto set our hands and seals on the dates appearing before our respective names.
(Note: If a provider of labor or materials uses a CTA form 002.1 instead, please attach it to this form and print “See Form 002.1 Attached” in the place where the provider would have signed below.) This waiver consists of this page plus ______ additional pages.
| DATE SIGNED |
|
DATE SIGNED |
|
| _____________ |
____________________________________
General Contractor |
______________ |
____________________________________
Cabinets |
| _____________ |
____________________________________
Architect |
______________ |
____________________________________
Carpenter |
| _____________ |
____________________________________
Architect (landscape) |
______________ |
____________________________________
Carpeting |
| _____________ |
____________________________________
Air Conditioning System |
______________ |
____________________________________
Concrete |
| _____________ |
____________________________________
Boiler |
______________ |
____________________________________
Concrete Blocks |
| _____________ |
____________________________________
Brick |
______________ |
____________________________________
Doors |
| _____________ |
____________________________________
Face Brick |
______________ |
____________________________________
Doors – Overhead |
| _____________ |
____________________________________
Ducts |
_____________ |
____________________________________
Insulation |
| _____________ |
____________________________________
Excavating (cellar – cesspool) |
_____________ |
____________________________________
Iron – Steel |
| _____________ |
____________________________________
Electrician |
_____________ |
____________________________________
Kitchen Cabinets |
| _____________ |
____________________________________
Electrical Supplies |
_____________ |
____________________________________
Landscaping |
| _____________ |
____________________________________
Electrical Fixtures |
_____________ |
____________________________________
Lather |
| _____________ |
____________________________________
Elevator and Doors |
_____________ |
____________________________________
Linoleum - Rubber Tile |
| _____________ |
____________________________________
Fire Escape |
_____________ |
____________________________________
Lumber |
| _____________ |
____________________________________
Flagstone |
_____________ |
____________________________________
Lumber (trim) |
| _____________ |
____________________________________
Flashings – Gutters |
_____________ |
____________________________________
Marble |
| _____________ |
____________________________________
Flooring (material) |
_____________ |
____________________________________
Mason |
_____________ |
____________________________________
Floor (laying) |
_____________ |
____________________________________
Mason’s Supplies |
| _____________ |
____________________________________
Floor (scraping) |
_____________ |
____________________________________
Metal Work |
| _____________ |
____________________________________
Floor (finishing) |
_____________ |
____________________________________
Oil Burner |
| _____________ |
____________________________________
Foundation |
_____________ |
____________________________________
Oil Tank |
| _____________ |
____________________________________
Frames – Sash |
_____________ |
____________________________________
Paint Supplies |
| _____________ |
____________________________________
Gas – Electric Ranges |
_____________ |
____________________________________
Painter (outside) |
| _____________ |
____________________________________
Glass – Glazier |
_____________ |
____________________________________
Painter (inside) |
| _____________ |
____________________________________
Grading |
_____________ |
____________________________________
Paper – Decorator’s Supplies |
| _____________ |
____________________________________
Hardware |
_____________ |
____________________________________
Paper – Decorator |
| _____________ |
____________________________________
Heating Contractor |
_____________ |
____________________________________
Plasterer |
| _____________ |
____________________________________
Heating Supplies |
_____________ |
____________________________________
Plumber |
| _____________ |
____________________________________
Heaters – Radiators |
_____________ |
____________________________________
Plumbing Fixtures |
| _____________ |
____________________________________
Incinerator |
_____________ |
____________________________________
Plumbing Supplies |
| _____________ |
____________________________________
Refrigeration |
_____________ |
____________________________________
Surveyor |
_____________ |
____________________________________
Roofer |
_____________ |
____________________________________
Tile |
| _____________ |
____________________________________
Roofing (materials) |
_____________ |
____________________________________
Tiler |
| _____________ |
____________________________________
Sand – Gravel – Stone |
_____________ |
____________________________________
Tinner |
| _____________ |
____________________________________
Screens |
_____________ |
____________________________________
Trimmer |
| _____________ |
____________________________________
Septic Tank – Cesspool |
_____________ |
____________________________________
Vanities |
| _____________ |
____________________________________
Shades |
_____________ |
____________________________________
Venetian Blinds |
| _____________ |
____________________________________
Shingles |
_____________ |
____________________________________
Walks |
| _____________ |
____________________________________
Shutters – Blinds |
_____________ |
____________________________________
Water Pumping System |
| _____________ |
____________________________________
Stair Builder |
_____________ |
____________________________________
Weather Strips |
| _____________ |
____________________________________
Steel Sash |
_____________ |
____________________________________
Well Drilling |
| _____________ |
____________________________________
Stone (for building) |
_____________ |
____________________________________
Other (specify) |
|
Stone (for driveway) |
|
Other (specify |
| _____________ |
____________________________________
Stone (ornamental) |
_____________ |
____________________________________
Other (specify) |
| _____________ |
____________________________________
Storm Doors and Windows |
_____________ |
____________________________________
Other (specify) |
GENERAL CONTRACTOR’S
AFFIDAVIT AND INDEMNITY AGREEMENT
STATE OF CONNECTICUT )
) ss:
COUNTY OF _______________________________ ) |
Date: __________________________ |
I, being the GENERAL CONTRACTOR, or being an authorized officer and/or agent of the below-named corporate GENERAL CONTRACTOR, engaged in construction on the above-described property, after being duly sworn, depose and say: (1) that I have read the within and foregoing WAIVER OF MECHANCIS’ LIENS; (2) that the persons, firms and corporations who have executed said waiver are the only persons, firms and corporations who have furnished or have contracted to furnish services, labor, or materials iin the construction or repair of the buildings and appurtenances on said property as of the date hereof; (3) that I have no notice of any claim of any subcontractor, laborer or materialmen against said property; (4) that this combined Affidavit and Indemnity Agreement is being made with the understanding that TICOR TITLE INSURANCE COMPANY will rely upon the truth of the statements made herein when it issues its mortgagee policy or mortgagee policies of title insurance on this date insuring title to said property without taking any exception with respect to any possible unrecorded mechanics’ liens; (5) that, in order to induce TICOR TITLE INSURANCE COMPANY to issue such policy or policies, I, individually, or said corporate GENERAL CONTRACTOR, do/does hereby agree to indemnify TICOR TITLE INSURANCE COMPANY, and agree to hold it harmless by reason of any and all loss, cost or damage, including attorneys’ fees and court costs, which it may sustain by reason of the recording of any and all mechanics’ liens against said property by any person or entity claiming under any subcontract with the undersigned; and (6) that, if any such mechanics’ liens are recorded against said property, I or said corporate GENERAL CONTRACTOR, will immediately cause the same to be removed by bonding the same, by payment or by any other process or manner which will effectively remove any and all such liens from said property.
________________________________________________ - GENERAL CONTRACTOR
By ___________________________________, its_______________________________
Subscribed and sworn to by _________________________________________________________________________________________________
Before me, this ____________________________________________day of _________________________________, 20______________________
_________________________________
Commissioner of the Superior Court/Notary Public
OWNERS’ AFFIDAVIT AND INDEMNITY AGREEMENT
STATE OF CONNECTICUT )
) ss:
COUNTY OF _____________________________ ) |
Date: _____________________________ |
Each of the undersigned OWNER(S), or authorized officer and/or agent of the below-named CORPORATE OWNER of the above-described property, after being duly sworn, deposes and says: (1) that he/she has read the within and foregoing WAIVER OF MECHANCIS’ LIENS; (2) that the persons, firms or corporations who have executed said waiver are the only persons, firms and corporations who have furnished or who have contracted to furnish services, labor or materials in the construction or repair of the buildings and appurtenances on said property as of the date hereof; (3) that he/she has no notice of any claim of any subcontractor, laborer or materialman against said property; (4) that this combined Affidavit and Indemnity Agreement is being made with the understanding that TICOR TITLE INSURANCE COMPANY will rely upon the truth of the statements made herein when it issues its mortgagee policy or mortgagee policies of title insurance on this date insuring title to said property without taking any exception with respect to any possible unrecorded mechanics’ liens; (5) that, in order to induce TICOR TITLE INSURANCE COMPANY to issue such policy or policies, he/she jointly and/or severally, or said CORPORATE OWNER do/does hereby indemnify TICOR TITLE INSURANCY COMPANY, and agree to holt it harmless by reason of any and all loss, cost or damage, including attorneys’ fees and court costs, which it may sustain by reason of the recording of any and all mechanics’ liens against said property; and (6) that, if any such mechanics’ liens are recorded against said property, he/she or said CORPORATE OWNER will immediately cause the same to be removed by bonding the same, by payment or by any other process or manner which will effectively remove any and all such liens from said property.
| ______________________________________________ - OWNER |
_____________________________________________ - OWNER |
| ______________________________________________ - OWNER |
By _______________________________, its _________________ |
| Subscribed and sworn to by __________________________________________________________________________________________ |
| Before me, this _________________________________ day of _____________________________________________, 20______________. |
____________________________________________________
Commissioner of the Superior Court/Notary Public