Conditional Contractor’s Lien Release Template
This Conditional Contractor’s Lien Release is designed for use in the state of [State Name]. This document serves to release any lien rights held by the contractor upon the completion of work and receipt of payment, as governed by the laws of [State Name].
Contractor Information:
- Name: ___________________________
- Address: _________________________
- City, State, Zip: ________________
- Phone: __________________________
Property Owner Information:
- Name: ___________________________
- Address: _________________________
- City, State, Zip: ________________
- Phone: __________________________
Project Information:
- Project Name: ____________________
- Project Address: _________________
- City, State, Zip: ________________
Release Statement:
In consideration of the payment received in the amount of [$ Amount], the undersigned contractor hereby releases any and all lien rights against the property described above. This release is conditional upon the clearance of the payment.
Conditions:
- This release is valid only if the payment is not reversed or canceled.
- Should the payment be disputed or returned, this release shall be void.
Signature:
By signing below, the contractor affirms that the information provided is accurate and that they agree to the conditions outlined in this document.
Signature: ____________________________
Date: _________________________________