UNCONDITIONAL WAIVER AND RELEASE

UPON FINAL PAYMENT

(Mechanic's Lien Release)

The undersigned has been paid in full for all labor, services, equipment or material furnished to (your customer): ______________________ on the job of (owner): ________________________, located at: ____________________________________ and does hereby release any right to a mechanic's lien, stop notice, or any right

against a labor and material bond on the job, except for disputed claims for extra work in the amount of $ ___________________.

This document also releases (name of party to be released): _____________________ __________________ from liability.

DATED: ______________

COMPANY NAME: ________________________________

______________________ ________________

SIGNATURE OF AUTHORIZED PERSON TITLE

NOTICE TO PERSONS SIGNING THIS WAIVER: This document waives rights unconditionally and states that you have been paid for giving up those rights. This document is enforceable against you if you sign it, even if you have not been paid. If you have not been paid, use the conditional release form.

THE UNDERSIGNED HAVE PERFORMED LABOR FOR WAGES ON THE PROJECT DESCRIBED ABOVE AND HAVE BEEN PAID IN FULL TO DATE

_________________________ _____________

(Signature Of Person Performing Labor For Wages) (Date)

________________________ _____________

(Signature Of Person Performing Labor For Wages) (Date)

________________________ _____________

(Signature Of Person Performing Labor For Wages) (Date)

________________________________________________ _____________

(Signature Of Person Performing Labor For Wages) (Date)

________________________________________________ _____________

(Signature Of Person Performing Labor For Wages) (Date)