Home > Legal > Release Template > Lien Release Template > Arizona Lien Release Form > Arizona Conditional Waiver And Release On Progress Payment

Arizona Conditional Waiver And Release On Progress Payment

At Speedy Template, You can download Arizona Conditional Waiver And Release On Progress Payment . There are a few ways to find the forms or templates you need. You can choose forms in your state, use search feature to find the related forms. At the end of each page, there is "Download" button for the forms you are looking form if the forms don't display properly on the page, the Word or Excel or PDF files should give you a better reivew of the page.

Arizona Conditional Waiver And Release On Progress Payment
Arizona Conditional Waiver And Release On Progress Payment
Bluff & Associates. 1 AZ Conditional – Progress Release
www.guywbluff.com 602-452-2000
AZ-Lien-Release-1 (28-Jan-2011)
C
ONDITIONAL
W
AIVER AND
R
ELEASE ON
P
ROGRESS
P
AYMENT
(A
RIZONA
)
T
YPE
1
F
ORM
-
(Pursuant to A.R.S. §33-1008(d)(1))
Project:
Job No.:
Upon receipt by the undersigned of a check from
(Maker of Check)
in the sum of $________________ payable to ,
(Amount of Check) (Payee or Payees of Check)
and when the check has been properly endorsed and has been paid by the bank on which it was drawn,
this document becomes effective to release any mechanics’ lien, any state or federal statutory bond right,
any private bond right, any claim for payment, any stop notice or bonded stop notice, and any rights under
any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned’s
position that the undersigned has on the job of
(Owner)
located at
(Job Description and/or Location)
to the following extent. This release covers a progress payment for all labor, services, equipment or
materials furnished to the jobsite or to
(Person with whom Undersigned Contracted)
through ________________________ only and does not cover any retention, pending
(Date)
modifications, changes or other items furnished after that date. Before any recipient of this document
relies on it, that person should verify evidence of payment to the undersigned.
The undersigned warrants that it either has already paid or will use the monies it receives from
this progress payment to promptly pay in full all of its laborers, subcontractors, materialmen and suppliers
for all work, materials, equipment or services provided for or to the above referenced project up to the
date of this waiver.
(Type of Work, Materials and/or Equipment Furnished)
The following invoices and pay applications are included in the above referenced amount:
Date Signed:
(Company Name)
By:
(Signature)
(Title)
(Claimant’s Phone Number)
Arizona Conditional Waiver And Release On Progress Payment
Previous

1/2

Next