Lakewood, IL · McHenry County
Waiver of Lien to Date
This form waives lien or claim rights for labor or materials furnished to a property through a stated date, and is completed by the company or subcontractor/supplier providing the work or materials.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The form releases lien or claim rights for labor, services, materials, fixtures, apparatus, or machinery furnished for the described premises through the date stated. It also includes a Contractor’s Affidavit listing contract amounts, payments, and parties who furnished labor or materials; the form says to complete that affidavit if you contracted for labor or materials on the job.
Who needs it
A company or subcontractor/supplier furnishing labor or materials for the described premises may use this form to waive lien rights and provide the accompanying affidavit when applicable.
How to get this notarized
- 1
Download The Form
Get the Waiver of Lien to Date form from the Village of Lakewood website.
- 2
Complete The Applicable Sections
Fill in the waiver details and complete the Contractor’s Affidavit if you contracted for labor or materials on the job.
- 3
Book An Online Notary
Arrange a remote notarization for the affidavit’s sworn signature.
- 4
Sign On Video
Sign the affidavit during the online notary session as directed by the notary.
- 5
Submit The Form
Send the completed form where requested for the project; the form does not specify a submission destination.
Preview the form
The blank PDF straight from Lakewood. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the waiver and affidavit?
- Fill in the company, contractor, premises, consideration, and date fields on the waiver. If you contracted for labor or materials on the job, complete the Contractor’s Affidavit, including its payment and party details.
- Do I need to sign the waiver in front of a notary?
- The waiver section has a company signature and title line. The Contractor’s Affidavit has a subscribed-and-sworn jurat, so its signer must sign before a notary.
- Can I use a commissioned online notary for the affidavit?
- Illinois authorizes electronic and remote notarization by its notaries and recognizes notarial acts performed outside Illinois by an officer authorized where the act occurs. Confirm with the city or village if unsure whether a remote notarization is acceptable for your submission.
- What should I do after notarization?
- Submit the completed waiver and, if applicable, the Contractor’s Affidavit as directed for the job. The form itself does not specify a submission method or destination.