Conditional Contractor’s Lien Release
This Conditional Contractor’s Lien Release ("Release") is executed on this ___ day of ___________, 20__, by
________________("Contractor"), whose address is _____________________________, in favor of
________________("Owner"), whose address is _____________________________, regarding the property
located at ____________________________________ ("Property"). This Release is provided under and governed by
the laws of the State of ________________.
WHEREAS, the Contractor has performed certain work, services, or supplied materials for the Property as described in
the contract or agreement dated __________, between the Contractor and Owner ("Contract"), and WHEREAS, the
Owner has agreed to pay the Contractor a certain sum for the completed work, services, or materials, which payment
is not yet fully received by the Contractor.
NOW, THEREFORE, for and in consideration of the Contractor’s receipt of $__________ ("Payment Amount"), which
is part of the total compensation due under the Contract, and upon clearance of such payment, the Contractor does
hereby conditionally release and forever discharge the Owner, the Owner’s heirs, executors, administrators, successors,
and assigns, from any and all liens, claims, demands, and rights to liens with respect to the Property to the extent of
the Payment Amount, but only to such extent and conditioned upon such payment not being dishonored or reclaimed.
It is understood and agreed that this Release is conditional and is not to be considered as an acknowledgment that
the Contractor has received payment in full of the Payment Amount. If the Payment Amount is dishonored, reclaimed, or
otherwise fails to irrevocably clear for any reason, this Release shall be void and of no effect, and the Contractor
retains the right to claim a lien for work performed up to the full amount owed under the Contract.
IN WITNESS WHEREOF, the Contractor has executed this Conditional Contractor’s Lien Release on the date first above
written.
Contractor:
____________________________
Name: _______________________
Title: ______________________
Date: _______________________
Acknowledged by:
Owner:
____________________________
Name: _______________________
Title: ______________________
Date: _______________________