Conditional Contractor’s Lien Release Template
This Conditional Contractor’s Lien Release is governed by the laws of the state of [State Name]. Use this template to release a lien conditionally once payment has been made or as specified herein.
Contractor Information:
- Name: _________________________________
- Company Name: _________________________
- Address: ________________________________
- City: __________________________________
- State: _________________________________
- Zip Code: _____________________________
- Phone Number: _________________________
- Email Address: _________________________
Property Owner Information:
- Name: _________________________________
- Address: ________________________________
- City: __________________________________
- State: _________________________________
- Zip Code: _____________________________
Property Description:
- Property Address: ______________________
- City: __________________________________
- County: ________________________________
- State: _________________________________
This release is conditional upon the receipt of a certain payment as described below:
Details of Conditional Payment:
- Amount: ________________________________
- Date of Expected Payment: ______________
- Payment Method: ________________________
Upon the receipt of the above-stated payment, I hereby release the above-mentioned property from any claims under the lien laws of the state of [State Name].
If the payment is not received by the date specified, this release shall be void and of no effect.
Signature: ____________________________
Date: ________________________________