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)
