(ARIZONA - Bluff & Associates

Bluff & Associates 1 AZ Conditional Final release 602-452-2000 AZ-Lien- release -3 (28-Jan- 2011 ) CONDITIONAL WAIVER AND release ON FINAL PAYMENT ( arizona ) TYPE 3 FORM - (Pursuant to 33-1008(d)(3)) Project: Job No.: On 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 stop notice or bonded stop notice, any private bond right, any claim for payment 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)

Bluff & Associates 2 AZ Conditional – Final Release www.guywbluff.com 602-452-2000 AZ-Lien-Release-3 (28-Jan-2011) INSTRUCTIONS FOR USE Limited Use Agreement.

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  2011, Line, Release, Arizona

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