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_____________________________ [Title] ______________________________________ [Company Name] Conditional Waiver & Release upon Final Payment 1 document relies on it, the party should verify evidence of payment to the undersigned. Dated: ________________ By: ______________________________________ [Name of Person Granting Release] _________ for all labor, services, equipment, or material furnished on the job, except for disputed claims for additional work in the amount of $_________ [Enter any Disputed Sum]. Before any recipient of this ____________________ _______________________ [Owner] located at _________________________________ _______________________ [Job Description]. This release covers the final payments to the undersignedroperly endorsed and has been paid by the bank upon which it is drawn, this document shall become effective to release any mechanic's lien, stop notice, or bond right the undersigned has on the job of________ __________________ [Maker of the Check] in the sum of $___________ [Sum of Check] Payable to ___________________________________________ [Person Receiving Check] and when the check has been pthese materials. An attorney should be consulted for all serious legal matter. Conditional Waiver & Release upon Final Payment Upon receipt by the undersigned of a check from ________________________ofits; or business interruption) however caused and on any theory of liability, whether in contract, strict liability, or tort (including negligence or otherwise) arising in any way out of the use of sible or liable for any direct, indirect, incidental, special, exemplary, or consequential damages (including, but not limited to, procurement of substitute goods or services; loss of use, data, or prcular needs. The materials are used at your own risk. In no event will: i) FindLegalForms, Inc, its agents, partners, or affiliates, or ii) the providers, authors or publishers of the forms, be responnd at findlegalforms.com. These materials are provided "AS-IS." We do not give any express or implied warranties of merchantability, suitability or completeness for any of the materials for your partiient relationship is created by use of these materials. FindLegalForms, Inc. does not provide legal advice. The purchase and use of these materials is subject to the "Disclaimers and Terms of Use" fou and the claimant is not, in fact, paid in exchange for the waiver and release. This form includes bracketed italicized instructions which should be deleted before printing. Disclaimer No Attorney-ClConditional Waiver & Release upon Final Payment Information This form should be used when a claimant is required to execute a waiver and release in exchange for, or in order to receive a final payment