Michigan lien waivers
MISTATUTORY FORM

Partial Conditional Waiver of Lien

Michigan · Michigan Compiled Laws § 570.1115

When to Use This Form
When to sign
Submit with progress payment. Effective when payment clears.
Who signs
Contractor, subcontractor, or supplier
Free Michigan Template
Copy and fill in the blanks
PARTIAL CONDITIONAL WAIVER OF LIEN
(Michigan Compiled Laws § 570.1115)

Project: _________________
Owner: _________________
Lienor: _________________
Through Date: _________________

The lienor, upon receipt of $_________, waives and releases any lien or claim of lien for labor or material furnished through the through date. This waiver is conditioned upon receipt of payment.

Signature: _________________
Title: _________________
Date: _________________

Fill in all blank fields before signing. In Michigan, using a non-statutory form may void the waiver. No notarization required.

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Common Questions
Subcontractors who do not have a direct contract with the owner must serve a Notice of Furnishing within 20 days of first furnishing labor or materials. Without this notice, lien rights are lost.
Before an owner is required to pay the general contractor, the GC must provide a sworn statement listing all subcontractors and suppliers on the project and the amount owed to each. This allows the owner to issue joint checks to protect against mechanic liens.
Legal disclaimer: The forms on this site are provided for general informational purposes only and do not constitute legal advice. Construction lien laws are complex and vary by project type and circumstances. Always consult a licensed construction attorney before relying on any lien waiver for a real project.