Fillable Release Of Stop Payment Notice Form - California printable pdf download

Release Of Stop Payment Notice Form - California

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RELEASE OF STOP PAYMENT NOTICE

(Civil Code § 8128)

TO:

___________________________________________________

(owner, construction lender or public entity)

____________________________________________________

(address)

____________________________________________________

YOU ARE HEREBY NOTIFIED that the undersigned claimant releases that certain Stop Payment

Notice dated ______________, in the amount of $________________ against _______________________

______________________________________________________________________________ as owner or

public body and _______________________________________________ as direct contractor in connection

with the work or improvement known as ____________________________________________ in the City of

_______________, County of _______________, State of California. This Release of Stop Payment Notice is

given pursuant to Civil Code section 8128 and shall be effective only to release the Stop Payment Notice

identified in this document and shall not release any other claim or rights to enforce payment of the Claimant.

Date:______________________

Name of Claimant: _________________________________

Address: _________________________________

Telephone: _________________________________

By: _________________________________

(Signature)

____________________________________________

(Title)

VERIFICATION

I, the undersigned, state: I am the ________________ of the claimant named in the foregoing Release; I have

read said Release of Stop Payment Notice and know the contents thereof, and I certify that the same is true of

my knowledge. I certify (or declare) under penalty of perjury under the laws of the State of California that the

foregoing is true and correct.

Executed on ____________________, 20___, at _____________________, State of California.

_____________________________

Signature of Claimant or Authorized Agent

C&B Forms 03/2012

Release Of Stop Payment Notice Form - California

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