Unconditional Waiver And Release Upon Final Payment Form printable pdf download

UTAH UNCONDITIONAL WAIVER AND RELEASE UPON FINAL PAYMENT

Property Name:

Property Location:

Undersigned’s Customer:

Invoice/Payment Application Number:

Final Payment Amount: $

*Check Number(s):

The undersigned acknowledges that the undersigned has received payment in the Payment Amount

described above and that the undersigned has (1) endorsed a check in the above referenced Payment

Amount payable to the undersigned; and (2) the check has been paid by the depository institution on

which it was drawn, which constitutes payment in full for all labor, services, equipment or material

furnished by the undersigned to the Property or Job described above or to , the undersigned’s customer.

To the extent provided below, this document releases, and the undersigned hereby waives, any

mechanic’s lien right , stop payment right, state or federal statutory bond right, private bond right, claim

for payment , and is considered to waive any notice of lien or right under Utah Code Ann., Title 38,

Chapter 1a, Preconstruction and Construction Liens, or any bond right under Utah Code Ann., Title 14,

Contractors’ Bonds, or Section 63G-6a-1103 related to payment rights the undersigned has on the above

described Property or Job.

This waiver and release applies to the final payment for the work, materials, equipment, or a combination

of work, materials, and equipment furnished by the undersigned to the Property or to the Undersigned’s

Customer.

The undersigned warrants that the undersigned either has already paid or will use the money the

undersigned received from the final payment promptly to pay in full all the undersigned’s laborers,

subcontractors, materialmen, and suppliers for all work, materials, equipment, or combination of work,

materials, and equipment that are the subject of this waiver and release.

NOTICE: 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 A CONDITIONAL RELEASE FORM.

Dated: ____________________

(Company Name)

By:

Signature

Printed Name

Its:

Title

E-mail to:

OR Fax to:

801-621-7329

OR Mail original to: P.O. Box 9195

Ogden, UT 84409

Unconditional Waiver And Release Upon Final Payment Form