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Georgia Waiver And Release Upon Final Payment
Georgia Waiver And Release Upon Final Payment
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Georgia Final Lien Form
Updated: 03.22.09
WAIVER AND RELEASE UPON FINAL PAYMENT
STATE OF GEORGIA
COUNTY OF [COUNTY OF PROJECT]
THE UNDERSIGNED MECHANIC AND/OR MATERIALMAN HAS BEEN EMPLOYED BY
[OWNER NAME] (NAME OF CONTRACTOR/OWNER) TO FURNISH ______________________
(DESCRIBE MATERIALS AND/OR LABOR) FOR THE CONSTRUCTION OF IMPROVEMENTS
KNOWN AS (TITLE OF THE PROJECT OR BUILDING) WHICH IS LOCATED
IN THE CITY OF __________, COUNTY OF ___________, AND IS OWNED BY _________ (NAME
OF OWNER) AND MORE PARTICULARLY DESCRIBED AS FOLLOWS:
(DESCRIBE THE PROPERTY UPON WHICH THE IMPROVEMENTS WERE MADE BY USING
EITHER A METES AND BOUNDS DESCRIPTION, THE LAND LOT DISTRICT, BLOCK AND LOT
NUMBER, OR STREET ADDRESS OF THE PROJECT.)
UPON THE RECEIPT OF THE SUM OF $ , THE MECHANIC AND/OR MATERIALMAN
WAIVES AND RELEASES ANY AND ALL LIENS OR CLAIMS OF LIENS IT HAS UPON THE
FOREGOING DESCRIBED PROPERTY OR ANY RIGHTS AGAINST ANY LABOR AND/OR
MATERIAL BOND ON ACCOUNT OF LABOR OR MATERIALS, OR BOTH, FURNISHED BY THE
UNDERSIGNED TO OR ON ACCOUNT OF SAID CONTRACTOR FOR SAID PROPERTY.
THE UNDERSIGNED RECOGNIZES AND ACKNOWLEDGES THAT THIS WAIVER AND
RELEASE UPON FINAL PAYMENT MAY BE RECORDED AND STORED IN ELECTRONIC
FORMAT AND SHALL BE GIVEN FULL LEGAL EFFECT IN ACCORDANCE WITH THE
GEORGIA ELECTRONIC RECORDS AND SIGNATURES ACT, O.C.G.A. ยงยง10-12-1 ET. SEQ.
GIVEN UNDER HAND AND SEAL THIS ______ DAY OF ____________, ____.
(SEAL)
(WITNESS)
(ADDRESS)
NOTICE: WHEN YOU EXECUTE AND SUBMIT THIS DOCUMENT, YOU SHALL BE
CONCLUSIVELY DEEMED TO HAVE BEEN PAID IN FULL THE AMOUNT STATED ABOVE,
EVEN IF YOU HAVE NOT ACTUALLY RECEIVED SUCH PAYMENT, 60 DAYS AFTER THE
DATE STATED ABOVE UNLESS YOU FILE EITHER AN AFFIDAVIT OF NONPAYMENT OR A
CLAIM OF LIEN PRIOR TO THE EXPIRATION OF SUCH 60 DAY PERIOD. THE FAILURE TO
INCLUDE THIS NOTICE LANGUAGE ON THE FACE OF THE FORM SHALL RENDER THE
FORM UNENFORCEABLE AND INVALID AS A WAIVER AND RELEASE UNDER O.C.G.A.
SECTION 44-14-366
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