Open this waiver of lien to date in our PDF editor, then follow the instructions below.
1. Header Information
Start at the top of the waiver. Enter the State of Illinois, the county, and any escrow or city number (if one was assigned to the transaction).
2. Employment and Property Details
Next, complete the employment and property details.
Write the name of the party who hired you, describe the labor, materials, or both that you provided, and enter the full property address where you performed the work. You must add the owner’s name exactly as it appears in the contract or escrow file.
3. Payment and Lien Waiver Statement
In the payment paragraph, enter the dollar amount you are acknowledging as received.
Important: This amount should match the current payment only, not the full contract value.
4. Signature Section
Finish the waiver section. Add the date, your company name, business address, and the signature and title of the authorized signer.
Signing confirms that lien rights are waived for all work, materials, and approved extras provided up to the stated date.
5. Contractor’s Affidavit Details
Then move to the Contractor’s Affidavit. Fill in your name, job title, company name, property address, and owner. State the total contract amount, including extras, and the amount paid before this payment.
List all subcontractors and suppliers. For each, include what they provided, the contract price, amounts paid, the current payment, and any balance still due. If no parties apply, note that none exist.
6. Notarization
Finally, sign and date the affidavit in front of a notary public. The notary completes the final section, making the document ready for submission with the payment package.
