State: CT

Waiver of Mechanics Lien

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Waiver of Mechanics Lien

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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