Plantilla de Formulario de Renuncia de Gravamen
Plantilla de Formulario de Renuncia de Gravamen: Condicional/Incondicional, Progreso y Final
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Date and Parties
Property Information
Payment Details
Conditional/Unconditional Status
Governing Law
Signatures
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LIEN WAIVER FORM
This Lien Waiver Form ("Form") is entered into on [Date], by and between:
Property Owner: [Full Name / Company Name]
Address: [Address]
Contractor/Claimant: [Full Name / Company Name]
Address: [Address]
1. Property Information
- Project Name/Description: [Project Name]
- Property Address: [Full Address]
2. Payment Details
- Amount Received: $[Amount]
- Payment Type: ☐ Progress Payment
- Date of Payment: [MM/DD/YYYY]
3. Waiver of Lien Rights
In consideration of the above payment, the Claimant hereby waives and releases any and all lien or claim of lien rights against the property described herein, to the extent of the payment received.
4. Conditional/Unconditional Status
☐ Conditional Waiver (effective only upon cleared payment).
5. Certification
The undersigned certifies that they are duly authorized to execute this waiver and that payment has been received as indicated.
6. Governing Law
This Form shall be governed by the laws of [State/Country].
Signatures
Contractor/Claimant: ___________________________
Fecha: _________
Name/Title: [Full Name, Title]
Property Owner/Representative: ________________
Fecha: _________
Name/Title: [Full Name, Title]
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