Fillable UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT NOTICE (California)

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UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT NOTICE (California)

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7/1/12
UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT
NOTICE TO CLAIMANT: THIS DOCUMENT WAIVES AND RELEASES LIEN, STOP
PAYMENT NOTICE, AND PAYMENT BOND 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 WAIVER
AND RELEASE FORM.
Identifying Information
Name of Claimant:
Name of Customer:
Job Location:
Owner:
Unconditional Waiver and Release
This document waives and releases lien, stop payment notice, and payment bond rights the claimant
has for all labor and service provided, and equipment and material delivered, to the customer on this
job. Rights based upon labor or service provided, or equipment or material delivered, pursuant to a
written change order that has been fully executed by the parties prior to the date that this document is
signed by the claimant, are waived and released by this document, unless listed as an Exception
below. The claimant has been paid in full.
Exceptions
This document does not affect any of the following:
Disputed claims for extras in the amount of: $
Signature
Claimant's Signature:
Claimant's Title:
Date of Signature:
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UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT NOTICE (California)

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Completed 20 January 2021

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