This excerpt taken from the WCI 8-K filed Sep 28, 2005.
Form of Affidavit and Partial Waiver of Lien
We, the undersigned owner, contractor, subcontractor, materialman or laborer, having performed labor or furnished material or services in construction, alteration or improvement of the building or buildings located at:
LEGAL DESCRIPTION: , County,
STREET ADDRESS: ,
Notice of Commencement recorded on , in Official Records Book at Page of the Public Records of County, , do hereby, in consideration of the payment to us of the sums set opposite our names, release and discharge any claim, lien or otherwise, which we might have against the above-described property, having been paid in full to the date of this Affidavit and Waiver of Lien, and all parties performing labor, furnishing material or services on the site of improvement at our order or request have been paid in full as of the date set forth above. We do hereby release, discharge and waive any claim, lien or otherwise, in consideration of receipt of payment of the below amount.
DESCRIPTION OF WORK, SERVICES OR MATERIAL FURNISHED: