Nevada Lien Waiver And Release Form Conditional Waiver And Release Upon Final Payment printable pdf download

Nevada Lien Waiver And Release Form Conditional Waiver And Release Upon Final Payment

Nevada Lien Waiver and Release Form

Conditional Waiver and Release upon Final Payment

Project Name: ________________________________________________

Property Location: ______________________________________________

Undersigned Customer: __________________________________________

Invoice/Payment Application Number: _______________________________

Payment Amount: _______________________________________________

Payment Period: ________________________________________________

Amount of Disputed Claims: _______________________________________

Under Nevada Law upon Receipt by the undersigned of a check in the above reference payment

amount payable to the undersigned, and when the check has been properly endorsed and has

been paid by the bank on which it is drawn, this document becomes effective to release and the

undersigned shall be deemed to waive any notice of lien, any private bond right, any claim for

payment and any rights under any similar ordinance, rule or statute related to payment rights that

the undersigned has on the described property to the following extent:

This release covers the Final payment to the undersigned for all work, materials or equipment

furnished by the undersigned to the property or to the undersigned's customer and does not cover

payment for disputed claims, if any. Before any recipient of this document relies on it, he should

verify evidence of payment to the undersigned.

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

the final payment promptly to pay in full all his laborers, subcontractors, material men and suppliers

for all work, materials or equipment that are the subject of this waiver and release.

Dated: ____________________

_________________________

(Company Name)

BY:

____________________________

Title: _____________________________

_____________________________

(Supplier Company Name)

Dated: ________________________

BY:

____________________________

Title: ______________________________

Nevada Lien Waiver And Release Form Conditional Waiver And Release Upon Final Payment