(Consult an attorney before using this form or relying on this information)
CONDITIONAL WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT
The undersigned lienor, in consideration of the sum of $_____ [insert actual amount to be paid, not $10] to be paid and expressly subject thereto will waive and release its lien and right to claim a lien for labor, services, or materials furnished to (insert the name of your customer) on the job of (insert the name of the owner) to the following property:
(description of property)
DATED on _____, (year) .