Unconditional Waiver And Release Upon Final Payment Form

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UNCONDITIONAL WAIVER AND RELEASE UPON FINAL PAYMENT
Civil Code Section 3262(d)(4)
The undersigned has been paid in full for all labor, services, equipment or material furnished
to _____________________________ on the job of __________________________________
YOUR CUSTOMER
OWNER
located at ____________________________ and does hereby waive and release any right to a
JOB DESCRIPTION
mechanic's lien, stop notice, or any right against a labor and material bond on the job, except
for disputed claims for extra work in the amount of $_______________.
Dated:_______________________
_____________________________________________
COMPANY NAME
By:__________________________________________
TITLE
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.
NOTE: This form complies with the requirements of Civil Code Section 3262(d)(4). It is to be used to release claims to the extent that a progress
payment has actually been received by the releasing party.

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