North Carolina Lien Waiver and Release Forms Package by Megadox

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NC contractors, prepare your lien releases quickly and easily with this package of North Carolina Lien Waiver and Release forms.
This package contains the following forms which allow you to partially or completely release your lien claim against certain property, as payment is received from the owner:
- Conditional Waiver and Release of Lien Upon Progress Payment,
- Unconditional Waiver and Release of Lien Upon Progress Payment,
- Conditional Waiver and Release of Lien Upon Final Payment, and
- Unconditional Waiver and Release of Lien Upon Final Payment.
These downloadable North Carolina Lien Waiver and Release Forms are available in MS Word format and are fully editable.

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									   CONDITIONAL WAIVER AND RELEASE UPON FINAL PAYMENT
                    (NORTH CAROLINA)

Upon receipt by the undersigned of a check from _______________________________ in the sum of
_______________________________            DOLLARS       ($_____________)       made       payable          to
_____________________________________, and when the aforesaid check has been properly endorsed and
has been paid by the bank upon which it is drawn, this document shall become effective to release any
mechanic’s lien,      stop notice,   or bond right    which the undersigned         has on the       job    of
________________________________________________              (the       “Owner”)         located           at
_____________________________________________________________________________.


This release covers the final payment for labor, services, equipment, or material furnished on the job,
except for disputed claims for additional work in the amount of $_____________________. Before any
recipient of this document relies on it, that party should verify evidence of payment to the undersigned.


DATED at ____________________ this _____ day of ______________, _______.



Name of Company

By:
         Print name

Title:

This instrument was prepared by:


Name


Address


City                  State          Zip
                                                  -2-


                                         Acknowledgement

STATE OF NORTH CAROLINA                    )
                                           )
COUNTY OF ___________________________, SS: )

On the _____ day of __________________, _________, ______________________________________________
personally appeared before me, the undersigned Notary Public, personally known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument, and acknowledged to me
that he/she/they executed the same in his/her/their authorized capacity(ies), and by his/her/their
signature(s) on the within instrument, the person(s), or the entity(ies) on behalf of which the person(s)
acted, executed the within instrument.


IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal, on the day
set forth above.




                                                                                        (SEAL)
Notary Public
My Commission expires:


Affiant: Known                  Unknown


ID Produced:
                                 JOB COMPLETION CERTIFICATE

The undersigned hereby certifies that all work, equipment, and materials covered by the contract
between _________________________________________________ and the undersigned dated the _____
day of ______________________, _________ has been satisfactorily completed and said work, equipment,
and materials have been inspected by the undersigned.




_________________________________       ____________________________________
Customer’s Signature                           Date


_________________________________       ____________________________________
Customer’s Signature                           Date


NOTICE: Do not sign this certificate until you are satisfied that the work, equipment, and materials (as
specified in the contract) have been satisfactorily completed.
         CONDITIONAL WAIVER AND RELEASE UPON PROGRESS
                           PAYMENT
                        (NORTH CAROLINA)

Upon receipt by the undersigned of a check from _______________________________ in the sum of
_______________________________          DOLLARS         ($_____________)        made       payable          to
_____________________________________, and when the aforesaid check has been properly endorsed and
has been paid by the bank upon which it is drawn, this document shall become effective to release any
mechanic’s lien,      stop notice,   or bond right     which the undersigned        has on the        job    of
________________________________________________              (the       “Owner”)          located           at
__________________________________________________________________________________,                  to     the
following extent:


This release covers a progress payment for labor, services, equipment, or material furnished to the Owner
through ____________________________ [date] only and does not cover any retentions retained before or
after the release date; extras furnished before the release date for which payment has not been received;
extras or items furnished after the release date. Rights based upon work performed or items furnished
under a written change order which has been fully executed by the parties prior to the release date are
covered by this release unless specifically reserved by the claimant in this release. This release of any
mechanic’s lien, stop notice, or bond right shall not otherwise affect the contract rights, including rights
between parties to the contract based upon a rescission, abandonment, or breach of the contract, or the
right of the undersigned to recover compensation for furnished labor services, equipment, or material
covered by this release if that furnished labor, services, equipment, or material was not compensated by
the progress payment. Before any recipient of this document relies on it, that party should verify evidence
of payment to the undersigned.


DATED at ____________________ this _____ day of ______________, _______.


Name of Company

By:
         Print name

Title:

This instrument was prepared by:


Name
                        -5-




Address


City      State   Zip
                                                  -6-


                                         Acknowledgement

STATE OF NORTH CAROLINA                    )
                                           )
COUNTY OF ___________________________, SS: )

On the _____ day of __________________, _________, ______________________________________________
personally appeared before me, the undersigned Notary Public, personally known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument, and acknowledged to me
that he/she/they executed the same in his/her/their authorized capacity(ies), and by his/her/their
signature(s) on the within instrument, the person(s), or the entity(ies) on behalf of which the person(s)
acted, executed the within instrument.


IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal, on the day
set forth above.




                                                                                        (SEAL)
Notary Public
My Commission expires:


Affiant: Known                  Unknown


ID Produced:
UNCONDITIONAL WAIVER AND RELEASE UPON FINAL PAYMENT
                  (NO
								
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