Polk County Receipt and Waiver of Mechanic Lien Form (Minnesota)
All Polk County specific forms and documents listed below are included in your immediate download package:
Receipt and Waiver of Mechanic Lien Form

Fill in the blank Receipt and Waiver of Mechanic Lien form formatted to comply with all Minnesota recording and content requirements.
Included Polk County compliant document last validated/updated 1/31/2025
Receipt and Waiver of Mechanic Lien Guide

Line by line guide explaining every blank on the form.
Included Polk County compliant document last validated/updated 5/20/2025
Completed Example of the Receipt and Waiver of Mechanic Lien Document

Example of a properly completed form for reference.
Included Polk County compliant document last validated/updated 2/21/2025
The following Minnesota and Polk County supplemental forms are included as a courtesy with your order:
When using these Receipt and Waiver of Mechanic Lien forms, the subject real estate must be physically located in Polk County. The executed documents should then be recorded in the following office:
Polk County Recorder
612 North Broadway / Rm 225, Crookston, Minnesota 56716
Hours: 8:00 to 4:30 M-F
Phone: (218) 281-3464
Local jurisdictions located in Polk County include:
- Beltrami
- Climax
- Crookston
- East Grand Forks
- Erskine
- Euclid
- Fertile
- Fisher
- Fosston
- Gully
- Mcintosh
- Mentor
- Nielsville
- Trail
- Winger
How long does it take to get my forms?
Forms are available immediately after submitting payment.
How do I get my forms, are they emailed?
Immediately after you submit payment, the Polk County forms you order will be available for download directly from your account. You can then download the forms to your computer. If you do not already have an account, one will be created for you as part of the order process, and your login details will be provided to you. If you encounter any issues accessing your forms, please reach out to our support team for assistance. Forms are NOT emailed to you.
What does "validated/updated" mean?
This indicates the most recent date when at least one of the following occurred:
- Updated: The document was updated or changed to remain compliant.
- Validated: The document was examined by an attorney or staff, or it was successfully recorded in Polk County using our eRecording service.
Are these forms guaranteed to be recordable in Polk County?
Yes. Our form blanks are guaranteed to meet or exceed all formatting requirements set forth by Polk County including margin requirements, content requirements, font and font size requirements.
Can the Receipt and Waiver of Mechanic Lien forms be re-used?
Yes. You can re-use the forms for your personal use. For example, if you have more than one property in Polk County that you need to transfer you would only need to order our forms once for all of your properties in Polk County.
What are supplemental forms?
Often when a deed is recorded, additional documents are required by Minnesota or Polk County. These could be tax related, informational, or even as simple as a coversheet. Supplemental forms are provided for free with your order where available.
What type of files are the forms?
All of our Polk County Receipt and Waiver of Mechanic Lien forms are PDFs. You will need to have or get Adobe Reader to use our forms. Adobe Reader is free software that most computers already have installed.
Do I need any special software to use these forms?
You will need to have Adobe Reader installed on your computer to use our forms. Adobe Reader is free software that most computers already have installed.
Do I have to enter all of my property information online?
No. The blank forms are downloaded to your computer and you fill them out there, at your convenience.
Can I save the completed form, email it to someone?
Yes, you can save your deed form at any point with your information in it. The forms can also be emailed, blank or complete, as attachments.
Are there any recurring fees involved?
No. Nothing to cancel, no memberships, no recurring fees.
Receipt and Waiver of Mechanic's Liens Rights in Minnesota
During the construction process, the owner (or other parties) may make one or more progress or partial payments on the work or materials furnished to date. Additionally, the owner might pay the full amount or the full amount less any retainage or holdback amounts (used to pay subs and other worker's wages). When a full or partial payment is made, you can issue the owner a waiver for a lien on the amount paid. By issuing the waiver, you give up the right to claim a mechanic's lien for either the full or partial payment amount.
The receipt and waiver contains the following information: 1) date drafted; 2) amount received as full or partial payment; 3) a designation as partial payment for labor, skill, and material furnished; payment for all labor, skill, and material furnished or to be furnished; or full and final payment for all labor, skill, and material furnished or to be furnished; 4) if there are exceptions for amounts for retainage or holdback, the total amounts withheld; and 5) a property description; and 6) description of all materials not yet paid for or names of contractors not yet paid.
Finally, you should ensure that the proper box is checked for the waiver type. If a partial or progress payment was made, check Box #1. If a payment is made for all labor, materials or services furnished or to be furnished except for certain retainage or holdbacks, check Box #2. If a full and final payment was made without exceptions, check Box #3.
This article is provided for informational purposes only and should not be relied upon as a substitute for the advice of an attorney. Please contact a Minnesota attorney with any questions about lien waivers or other related issues.
Our Promise
The documents you receive here will meet, or exceed, the Polk County recording requirements for formatting. If there's an issue caused by our formatting, we'll make it right and refund your payment.
Save Time and Money
Get your Polk County Receipt and Waiver of Mechanic Lien form done right the first time with Deeds.com Uniform Conveyancing Blanks. At Deeds.com, we understand that your time and money are valuable resources, and we don't want you to face a penalty fee or rejection imposed by a county recorder for submitting nonstandard documents. We constantly review and update our forms to meet rapidly changing state and county recording requirements for roughly 3,500 counties and local jurisdictions.
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