Washington State Lien Waiver Form

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{{company_address}}

Phone: {{phone}} | Email: {{email}} | Web: {{website}}

Washington State Lien Waiver Form

Washington State Lien Waiver Form

Project Information

Project Name: {{project_name}}

Project Location: {{project_address}}

Owner/Client: {{owner_name}}

Waiver Details

Upon receipt of the payment of {{payment_amount}} USD, the undersigned waives and releases any and all liens or claims of liens, stop notices, payment bond rights, or other claims for payment that the undersigned has on the above-described project, including any and all labor, services, materials, equipment, or supplies furnished to the project through {{work_period_end_date}}.

Conditional Waiver (if applicable)

This waiver is conditioned upon the actual receipt of the payment specified above. If such payment is not received, this waiver shall be null and void.

Sworn Statement

The undersigned deposes and says that they have read the foregoing Lien Waiver, know the contents thereof, and that the same is true to their own knowledge, except as to matters therein stated to be on information and belief, and as to those matters, they believe them to be true.

Company Information

Company Name: {{company_name}}

Address: {{company_address}}

Phone: {{phone}}

Email: {{email}}

Signature

_______________________________

Name: {{signer_name}}

Title: {{signer_title}}

Date: {{signature_date}}