Conditional Contractor’s Lien Release
This document is intended for use in the state of [State], and is governed by the relevant state laws regarding lien releases.
Sender Information:
- Name: _____________________________
- Company Name: ______________________
- Address: _____________________________
- City: ________________________________
- State: _______________________________
- Zip Code: ___________________________
- Email: _______________________________
- Phone Number: _______________________
Recipient Information:
- Name: _____________________________
- Company Name: ______________________
- Address: _____________________________
- City: ________________________________
- State: _______________________________
- Zip Code: ___________________________
Property Information:
- Property Address: _____________________
- City: ________________________________
- State: _______________________________
- Zip Code: ___________________________
This Conditional Contractor’s Lien Release is issued in connection with the project described as follows:
Project Description: ___________________________
This release is conditional and will be effective upon receipt of payment in full for all work performed and materials supplied related to the aforementioned project.
- Amount Due: _____________________________
- Date of Payment: _________________________
- Method of Payment: ______________________
Upon payment being made in full, I, [Contractor's Name], acknowledge that I hereby release any and all liens or claims against the property mentioned above. This release is valid only upon the fulfillment of the payment condition stated herein.
Signature: _______________________________
Date: ________________________________