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Free lien waiver template

Conditional Final Lien Waiver (Free Template)

Use a conditional final waiver when the last payment on a job (usually including released retention) is about to be made: it releases all remaining lien rights on the project, but only once that final payment clears.

Last updated · By the Aequo AP construction team

Before you print: A final waiver gives up rights for the whole job, including retention and change orders, unless they are listed as exceptions. Where a statutory form applies, use the statutory wording instead. Check the state table.

Conditional Lien Waiver and Release on Final Payment

Generic template for projects in states without a statutory waiver form. Not legal advice.

Claimant (name of the party signing and giving up lien rights)

Customer (party paying the claimant)

Property owner

Project name

Job number / PO / subcontract number

Project address or legal description

Final payment amount ($)

Payment made by (maker of check or payer)

Payable to (payee)

Upon receipt by the Claimant of a final payment from the Customer in the amount shown above, and once that payment has been properly endorsed (if a check) and paid by the bank on which it is drawn or otherwise received in good funds, this document becomes effective to waive and release any mechanic’s lien, stop notice, bond or payment right the Claimant has on the project described above, for all labor, services, equipment and materials furnished to the project.

This is a final waiver. Apart from the items listed under Exceptions, it covers all work the Claimant has furnished to the project, including retention, change orders and extra work.

If the payment is not received, or does not clear, this document has no effect and the Claimant keeps all of its lien and payment rights.

Exceptions (disputed claims NOT waived, with amounts):

Claimant’s company name

Signature

Printed name and title

Date signed

When to use a conditional final lien waiver

Use a conditional final waiver when the last payment on a job (usually including released retention) is about to be made: it releases all remaining lien rights on the project, but only once that final payment clears.

A final waiver gives up rights for the whole job, including retention and change orders, unless they are listed as exceptions. Where a statutory form applies, use the statutory wording instead. For the difference between the types, see conditional vs unconditional lien waivers and final lien waivers.

How to complete this form

Fill in every blank, state the payment amount exactly, list anything not being waived under Exceptions, and sign only when the form matches the payment status.

  • Use legal names for the claimant, customer and owner.
  • Describe the project precisely: address or legal description, plus your job number.
  • Confirm the final amount includes retention and approved change orders, or list them as exceptions.
  • Write “None” under Exceptions rather than leaving it blank, if nothing is excluded.

Other lien waiver templates

Each payment usually needs a conditional waiver first and an unconditional one after the funds clear.

Frequently asked questions

When should I use a conditional final lien waiver?

Use a conditional final waiver when the last payment on a job (usually including released retention) is about to be made: it releases all remaining lien rights on the project, but only once that final payment clears.

Can I use this template in my state?

Only where no statutory form applies. Arizona, California, Florida, Georgia, Massachusetts, Michigan, Mississippi, Missouri, Nevada, Texas, Utah, Wyoming have statutory waiver forms; in states where the form is mandatory, use the statute’s wording instead of this template.

When does this conditional waiver take effect?

Only once the payment described on the form has been received and clears. If it does not, the waiver has no effect.

Does this form need to be notarized?

The template does not include a notary block because most states do not require one. Add an acknowledgment if your state’s rules or your customer require it.

Aequo Build

Stop paying subs before the waiver is in.

With waiver enforcement on, Aequo Build creates a conditional waiver requirement for each subcontractor payment you make from Aequo, holds that payment until a reviewer verifies the waiver or an approver records a reasoned override, escalates overdue requests to the subcontractor and your team, and requests the unconditional waiver once the invoice is paid. It works with QuickBooks Online.

Sources

Primary sources checked on October 22, 2026. Statutes change; always confirm against the current text.

  1. Arizona: A.R.S. §33-1008 — statutory waiver form; use instead of this template where it applies
  2. California: Cal. Civ. Code §§8120–8138 (forms at §§8132, 8134, 8136, 8138) — statutory waiver form; use instead of this template where it applies
  3. Florida: Fla. Stat. §713.20 — statutory waiver form; use instead of this template where it applies
  4. Georgia: O.C.G.A. §44-14-366 — statutory waiver form; use instead of this template where it applies
  5. Massachusetts: M.G.L. c. 254, §32 — statutory waiver form; use instead of this template where it applies
  6. Michigan: MCL 570.1115 — statutory waiver form; use instead of this template where it applies
  7. Mississippi: Miss. Code §§85-7-419 and 85-7-433 — statutory waiver form; use instead of this template where it applies
  8. Missouri: RSMo §429.016 — statutory waiver form; use instead of this template where it applies
  9. Nevada: NRS 108.2457 — statutory waiver form; use instead of this template where it applies
  10. Texas: Tex. Prop. Code §§53.281–53.287 — statutory waiver form; use instead of this template where it applies
  11. Utah: Utah Code §38-1a-802 — statutory waiver form; use instead of this template where it applies
  12. Wyoming: W.S. §29-10-101(b) — statutory waiver form; use instead of this template where it applies