Conditional Contractor’s Lien Release
Date: ______________________
This Conditional Contractor’s Lien Release is executed under the laws of the State of ____________________.
The undersigned, Contractor Name: ______________________, located at ______________________, does hereby consent to the release of any lien or claim for payment against the property located at:
Property Address: ______________________
This release is conditional upon the following:
- Receipt of payment in the amount of $__________________.
- Completion of all agreed-upon work as specified in the contract dated ________________.
- Verification of such payment and work by the owner or authorized representative.
Upon fulfillment of these conditions, the undersigned agrees to release any claims to a lien against the property listed above.
This document serves as a formal notification that a conditional release of lien has been executed.
Signed this ____ day of ______________, 20___.
Contractor Signature: ______________________
Print Name: ______________________
Title: ______________________
Company Name: ______________________
Owner/Authorized Representative Signature: ______________________
Print Name: ______________________
Title: ______________________