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Back to Forms for 'Releases and Settlements'.


UNCONDITIONAL WAIVER AND RELEASE

UNCONDITIONAL WAIVER AND RELEASE

UPON PROGRESS PAYMENT

(Mechanic's Lien Release)

 

The undersigned has been paid and has received a progress payment in the sum of

_______________ Dollars ($__________) for labor, services, equipment or material furnished to (your customer): ____________________________________________ on the job of (owner): _________________________________________, located at: ___________________________________________________________, and does hereby release any mechanic's lien, stop notice or bond right that the undersigned has on the above referenced job to the following extent.  This release covers a progress payment for labor, services, equipment or materials furnished to (your customer): ________________________ through: ________________________ (month & day), ___________ (year), only and does not cover retention for items already furnished, or items furnished after that date.

 

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 conditional release form.

 

THE UNDERSIGNED HAVE PERFORMED LABOR FOR WAGES ON THE OBJECT 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)

 

 

 



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