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Waiver Of Landlord's Claim
To Annexed Fixtures
ACKNOWLEDGEMENT by and between [Landlord] of [Address], and [Tenant] of [Address], for good consideration it is agreed that Landlord hereby waives all claim to certain equipment, fixtures, improvements, accessories or appurtenances as may be installed by Tenant on the premises known as [Enumerate], said personal property being as contained on the annexed list.
Landlord agrees that said personal property shall remain property of Tenant and may be removed by Tenant upon the expiration of its tenancy; provided however, that Tenant shall restore said premises to its original condition to the extent practicable.
Signed under seal this [Date].
This Section for Notary:
STATE OF -------)
) ss: [date]
COUNTY OF ------)
On [Date] before me, [Name of Notary], notary, personally appeared [Name of Person(s) Involved], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
Witness my hand and official seal.
[Name of Notary Public]
My commission expires: [date]