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The Lien Waiver Wisconsin form is a crucial document in construction and contracting, ensuring that all parties involved in a project are protected from future claims related to unpaid labor or materials. This form, officially titled "Waiver of Lien on Final Payment for Labor and Materials," serves as a formal acknowledgment that a contractor or subcontractor has received full payment for their services. It is essential for both the contractor and the property owner, as it eliminates the risk of liens being placed on the property after the project is completed. The form requires specific details such as the project title, location, and the names of the firms involved. Additionally, it must be signed by an authorized representative, whose title and contact information are also included. Notably, this document must be notarized to validate the signatures and affirm that all obligations have been satisfied. Adhering to the requirements set forth in Wisconsin Statute 779.15, the Lien Waiver Wisconsin form not only streamlines the payment process but also provides peace of mind to all parties, ensuring that everyone has fulfilled their contractual obligations.

Form Example

STATE OF WISCONSIN DEPARTMENT OF ADMINISTRATION DIVISION OF STATE FACILITIES (DSF)

DOA-4530 (R01/96)

s. 779.15 Wisconsin Statutes

Mailing Address: Post Office Box 7866, Madison, WI 53707-7866

Street Address: 101 E. Wilson Street, 7th Floor, Madison, WI 53702

Phone: 608 / 266-2731; FAX: 608 / 267-2710

http://www.doa.state.wi.us/dsf

WAIVER OF LIEN ON FINAL PAYMENT FOR LABOR AND MATERIALS

ATTN

Project Manager

REF

CONTRACT

PROJECT NO.

Work Description

Project Title

Project Location

We

Firm Name

Of

Street

City

County

State

Zip+4

Have been employed by

Name of Firm or Organization Contracted With

To furnish labor and/or material in connection with the performance of the contract for the above referenced project.

Now, therefore, know ye, that we, the undersigned, have been paid in full or all obligations have otherwise been satisfied and are hereby acknowledged; we do hereby waive and release any and all lien, and claim or right to lien on the money or bonds or warrants due or to become due the prime contractor, all in accordance with State of Wisconsin Statute 779.15.

Authorized Signature

Printed Name

Title

Telephone Number and Fax Number

Subscribed to and Sworn before me

On this

 

day of

 

, 20

Notary Public

My Commission expires

 

, 20

This form can be made available in accessible formats upon request to qualified individuals with disabilities.

Document Specs

Fact Name Description
Governing Law The Lien Waiver Wisconsin form is governed by Wisconsin Statutes s. 779.15.
Purpose This form is used to waive and release any lien claims for labor and materials provided on a project.
Final Payment The waiver is specifically for final payment, ensuring all obligations are satisfied before funds are released.
Project Information The form requires details about the project, including the project title, location, and contract number.
Signature Requirement An authorized signature is necessary to validate the waiver, confirming that payment has been received in full.
Notary Requirement The form must be notarized, providing an additional layer of verification for the signature.
Accessibility The form can be made available in accessible formats for individuals with disabilities upon request.
Contact Information Contact details for the Wisconsin Department of Administration are included for any inquiries.
Mailing Address The mailing address for submissions is Post Office Box 7866, Madison, WI 53707-7866.
Form Version This version of the form is DOA-4530 (R01/96), indicating it may have been revised in January 1996.
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