Free Statutory Lien Waiver Generator

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WAIVER AND RELEASE OF LIEN UPON PROGRESS PAYMENT (CONDITIONAL)
WARNING: THIS DOCUMENT WAIVES RIGHTS UNCONDITIONALLY AND STATES THAT YOU HAVE BEEN PAID FOR GIVING UP THOSE RIGHTS. IT IS PROHIBITED FOR A PERSON TO REQUIRE YOU TO SIGN THIS DOCUMENT IF YOU HAVE NOT BEEN PAID THE PAYMENT AMOUNT SET FORTH BELOW. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL RELEASE FORM.
WAIVER AND RELEASE OF LIEN UPON PROGRESS PAYMENT (CONDITIONAL)

The undersigned lienor, in consideration of the sum of $4,500.00, hereby waives and releases its lien and right to claim a lien for labor, services, or materials furnished through __________ to Your Company on the job of Your Company to the following described property, effective upon actual receipt and clearance of the referenced payment:

123 Main St, Suite 4

This waiver and release does not cover any retention or labor, services, or materials furnished after the date specified.

Dated on 9/6/2026.

Lienor's Name: Precision Plumbing
By: ______________________________

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