UNCONDITIONAL WAIVER AND RELEASE UPON FINAL PAYMENT
(CA CIVIL CODE SECTION 8318)
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
labor and services 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 both 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 the following:
Disputed claims for extras in the amount of: $0.00
Signature
Claimant’s Signature: ______________________________________________
Claimant’s Title: __________________________________________________
Date of Signature: ________________________________________________
LIEN RELEASE MUST BE NOTARIZED (see next page)
CERTIFICATE OF ACKNOWLEDGMENT
A NOTARY PUBLIC OR OTHER OFFICER COMPLETING THIS CERTIFICATE VERIFIES
ONLY THE IDENTITY OF THE INDIVIDUAL WHO SIGNED THE DOCUMENT TO WHICH
THIS CERTIFICATE IS ATTACHED, AND NOT THE TRUTHFULNESS, ACCURACY, OR
VALIDITY OF THAT DOCUMENT.
STATE OF _______________________________
COUNTY OF _____________________________)
ON _____________________, ______ BEFORE ME, ________________________________________
(INSERT NAME AND TITLE OF THE OFFICER)
PERSONALLY APPEARED ________________________________________________________,
WHO PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSON(S)
WHOSE NAME(S) IS/ARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO
ME THAT HE/SHE/THEY EXECUTED THE SAME IN HIS/HER/THEIR AUTHORIZED CAPACITY(IES),
AND THAT BY HIS/HER/THEIR SIGNATURE(S) ON THE INSTRUMENT THE PERSON(S), OR THE
ENTITY UPON BEHALF OF WHICH THE PERSON(S) ACTED, EXECUTED THE INSTRUMENT.
I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA
THAT THE FOREGOING PARAGRAPH IS TRUE AND CORRECT.
WITNESS MY HAND AND OFFICIAL SEAL.
SIGNATURE ______________________________ (SEAL)
