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MSSTATUTORY FORMNOTARIZATION REQUIRED

Unconditional Lien Waiver — Progress Payment

Mississippi · Mississippi Code § 85-7-433

When to Use This Form
When to sign
Sign after payment clears. Must be notarized.
Who signs
Contractor, subcontractor, or materialman — notary required
Free Mississippi Template
Copy and fill in the blanks
UNCONDITIONAL LIEN WAIVER — PROGRESS PAYMENT
(Mississippi Code § 85-7-433)

State of Mississippi
County of _________________

Claimant has received $_________ and waives all lien and claim rights for labor, materials, or services furnished through _________________ [date].

Signature: _________________
Title: _________________
Date: _________________

Notary Public: _________________
My commission expires: _________________

Fill in all blank fields before signing. In Mississippi, using a non-statutory form may void the waiver. This form must be notarized.

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Common Questions
90 days from the last day you furnished labor or materials to the project.
Other Mississippi Lien Waiver Forms
Conditional Lien Waiver — Progress Payment
Submit with progress payment application. Must be notarized.
Conditional Final Lien Waiver
Submit with final payment application. Must be notarized.
Unconditional Final Lien Waiver
Sign only after all final payment has cleared. Must be notarized.
Legal disclaimer: The forms on this site are provided for general informational purposes only and do not constitute legal advice. Construction lien laws are complex and vary by project type and circumstances. Always consult a licensed construction attorney before relying on any lien waiver for a real project.