UNCONDITIONAL WAIVER AND RELEASE
UPON FINAL PAYMENT
Job Name/Job#_________________________________________________________________________________
Subcontractor/Supplier Name:_________________________________________________________________
The undersigned has been paid in full for all labor, services, equipment or material furnished to Sterling Group DKI
on the job of: ______________________________________________________________________________
Located at: __________________________________________________________________________________
And does hereby waive and release any right to a mechanics lien, stop notice, or any right against a labor and
material on the job except for disputed claims for extra work in the amount $______________________________
Before any recipient of this document relies on it, said recipient should verify evidence of payment to the
undersigned.
Notice to persons signing this waiver: This document waives 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 release form.
Date:______________________
_______________ __________________________________
Print Name/Title Authorized Corp Officer/Partner/Owner
_________________________________________________
(Signature)
State of
County Of
Subscribed and sworn before me this ______________day of _________________________________, 20____
_________________________________
Notary Signature
________________________________
Printed Name
________________________________
My commission expires
(Stamp/Seal)