| Waiver Type | Use When | What It Does |
|---|---|---|
| Conditional Waiver on Progress Payment | Payment has been promised but not yet cleared | Waives lien rights only if the progress payment is actually received. |
| Unconditional Waiver on Progress Payment | You already received a progress payment | Immediately releases lien rights through the stated progress-payment period. |
| Conditional Final Waiver | Final payment is offered but not yet received | Conditionally releases final lien rights once final funds are actually paid. |
| Unconditional Final Waiver | All money has cleared and all work is complete | Fully releases final lien rights for the project, subject to listed exceptions. |
Upon the undersigned claimant's receipt of the payment identified above, the claimant hereby waives and releases any mechanics lien, stop payment notice, bond claim, or similar construction payment claim rights against the project, owner, lender, and surety only to the extent of the progress payment amount actually received for work performed through the through date stated above.
This waiver applies solely to labor, services, equipment, and materials furnished to the project through the date stated above. It does not waive rights for unpaid retention, approved but unpaid change orders, disputed claims specifically listed in the exceptions field, or work performed after the stated through date unless those items are expressly included.
The claimant warrants that the claimant has paid or will promptly pay all lower-tier subcontractors, laborers, suppliers, and equipment lessors from the proceeds of the payment covered by this waiver, except for amounts in good-faith dispute specifically identified on this form. The claimant further represents that the signer is authorized to execute this waiver on behalf of the claimant.
Signed this day of , 20.
| Claimant Signature | Printed Name |
| Title | Date |
| Company | Phone / Email |
Upon the undersigned claimant's receipt of the payment identified above, the claimant hereby waives and releases any mechanics lien, stop payment notice, bond claim, or similar construction payment claim rights against the project, owner, lender, and surety only to the extent of the progress payment amount already received for work performed through the through date stated above.
This waiver applies solely to labor, services, equipment, and materials furnished to the project through the date stated above. It does not waive rights for unpaid retention, approved but unpaid change orders, disputed claims specifically listed in the exceptions field, or work performed after the stated through date unless those items are expressly included.
The claimant warrants that the claimant has paid or will promptly pay all lower-tier subcontractors, laborers, suppliers, and equipment lessors from the proceeds of the payment covered by this waiver, except for amounts in good-faith dispute specifically identified on this form. The claimant further represents that the signer is authorized to execute this waiver on behalf of the claimant.
Signed this day of , 20.
| Claimant Signature | Printed Name |
| Title | Date |
| Company | Phone / Email |
Upon the undersigned claimant's receipt of the payment identified above, the claimant hereby waives and releases any mechanics lien, stop payment notice, bond claim, or similar construction payment claim rights against the project, owner, lender, and surety only to the extent of the final payment actually received for all work, materials, services, and equipment furnished on the project.
This waiver applies solely to labor, services, equipment, and materials furnished to the project through the date stated above. It does not waive rights for unpaid retention, approved but unpaid change orders, disputed claims specifically listed in the exceptions field, or work performed after the stated through date unless those items are expressly included.
The claimant warrants that the claimant has paid or will promptly pay all lower-tier subcontractors, laborers, suppliers, and equipment lessors from the proceeds of the payment covered by this waiver, except for amounts in good-faith dispute specifically identified on this form. The claimant further represents that the signer is authorized to execute this waiver on behalf of the claimant.
If this is a final waiver, claimant additionally certifies that all work required under its contract is substantially complete, all known backcharges and punch-list obligations have been disclosed, and no further lien claim will be asserted except as expressly reserved in writing on this form.
Signed this day of , 20.
| Claimant Signature | Printed Name |
| Title | Date |
| Company | Phone / Email |
Upon the undersigned claimant's receipt of the payment identified above, the claimant hereby waives and releases any mechanics lien, stop payment notice, bond claim, or similar construction payment claim rights against the project, owner, lender, and surety only to the extent of all amounts due to claimant for the project except any specifically reserved disputed items listed above.
This waiver applies solely to labor, services, equipment, and materials furnished to the project through the date stated above. It does not waive rights for unpaid retention, approved but unpaid change orders, disputed claims specifically listed in the exceptions field, or work performed after the stated through date unless those items are expressly included.
The claimant warrants that the claimant has paid or will promptly pay all lower-tier subcontractors, laborers, suppliers, and equipment lessors from the proceeds of the payment covered by this waiver, except for amounts in good-faith dispute specifically identified on this form. The claimant further represents that the signer is authorized to execute this waiver on behalf of the claimant.
If this is a final waiver, claimant additionally certifies that all work required under its contract is substantially complete, all known backcharges and punch-list obligations have been disclosed, and no further lien claim will be asserted except as expressly reserved in writing on this form.
Signed this day of , 20.
| Claimant Signature | Printed Name |
| Title | Date |
| Company | Phone / Email |
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