Georgia Lien Waiver Form Template

This georgia lien waiver form template has 2 pages and is a MS Word file type listed under our human resources documents.

Sample of our georgia lien waiver form template:

LIEN WAIVER FORM - GEORGIA UNCONDITIONAL WAIVER & RELEASE UPON FINAL PAYMENT PROJECT & PAYMENT INFORMATION Property/Project Name: Property Address: Owner: General Contractor: Subcontractor/Supplier: Invoice/Payment Application Number: Amount of Payment: $ Date of Payment: Effective Date of Waiver and Release: TERMS & CONDITIONS Notice: This document waives and releases lien or bond rights unconditionally and states that you have been paid for giving up those rights. It is prohibited for a person to require you to sign this document if you have not been paid the payment amount set forth above. If you have not been paid, use a conditional release form. Waiver and Release: The undersigned has been paid in full for all labor, services, equipment, or material furnished to the property or to the contractor on the property of the owner described above. Therefore, the undersigned waives and releases any right to a mechanic's lien, any state or federal statutory bond right, any private bond right, any claim for payment, and any rights under any similar ordinance, rule, or statute related to claim or payment rights for persons in the undersigned's position on the above-described project, except for disputed claims in the amount of $____________________.