Wyoming lien waiver form

Wyoming sets one lien waiver form in its lien statute. Here it is, word for word from the state's code, ready to fill in, print and sign.

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Lien waiver

Note to lien claimant: Signing this form has legal implications. If you have any questions regarding how to complete this form or whether it has been properly completed, you should consult an attorney. LIEN WAIVER TO:__________ PROJECT:__________ FROM:__________ DATE:__________ PAYMENT: $__________ In consideration of the PAYMENT received to date, the undersigned does hereby waive, release, and relinquish any and all claim and/or right of lien against the project and the real property improvements thereto for labor and/or materials furnished for use in construction of the project; provided however, the undersigned reserves all claims and/or rights of lien as to monies withheld as retainage in the amount of $__________, and any labor and/or materials hereafter furnished for which payment has not yet been made. The undersigned has not been paid the sum of $__________ for work performed and/or materials provided under contract on this project and retains the right to file a lien against the property and pursue any and all actions to recover the full amount due, including any and all equitable claims. The undersigned acknowledges receipt of payment for work performed or materials provided and acknowledges that this waiver may be relied upon by the owner even if the undersigned accepts payment in uncertified funds and such payment is subsequently dishonored or revoked, in which case this lien waiver shall remain in full force and effect. The foregoing waiver shall not apply, however, if payment tendered by the owner is dishonored or revoked. By:__________ subcontractor/materialman/employee Title:__________ Date:__________ STATE OF __________ ) )ss. COUNTY OF __________ ) This instrument was acknowledged before me on this __________ day of __________, 20___, by __________ (name of person) as lien claimant or __________ (title, position or type of authority granted by lien claimant) of __________ (lien claimant). IN WITNESS THEREOF, I have hereunto set my hand and affixed my official seal on the day and year last above written. __________ Notarial officer My Commission Expires: Seal:
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Other states with their own forms

Each carries that state's statutory forms, word for word.

Wyoming's lien waiver law

Wyoming sets one lien waiver form, with a notary acknowledgment, to be completed in substantially the statutory form. The forms below are copied word for word from Wyoming Statutes section 29-10-101, read on 2026-10-09. Blank lines in the statute are shown as underscores.

Which form to use

FormUse it for
Lien waiverEach payment

Pick the form in the generator above, type your details after each label, and print it. Keep a copy of every waiver you sign.

Lien waiver

Lien waiverNote to lien claimant: Signing this form has legal implications. If you have any questions regarding how to complete this form or whether it has been properly completed, you should consult an attorney. LIEN WAIVER TO:__________ PROJECT:__________ FROM:__________ DATE:__________ PAYMENT: $__________ In consideration of the PAYMENT received to date, the undersigned does hereby waive, release, and relinquish any and all claim and/or right of lien against the project and the real property improvements thereto for labor and/or materials furnished for use in construction of the project; provided however, the undersigned reserves all claims and/or rights of lien as to monies withheld as retainage in the amount of $__________, and any labor and/or materials hereafter furnished for which payment has not yet been made. The undersigned has not been paid the sum of $__________ for work performed and/or materials provided under contract on this project and retains the right to file a lien against the property and pursue any and all actions to recover the full amount due, including any and all equitable claims. The undersigned acknowledges receipt of payment for work performed or materials provided and acknowledges that this waiver may be relied upon by the owner even if the undersigned accepts payment in uncertified funds and such payment is subsequently dishonored or revoked, in which case this lien waiver shall remain in full force and effect. The foregoing waiver shall not apply, however, if payment tendered by the owner is dishonored or revoked. By:__________ subcontractor/materialman/employee Title:__________ Date:__________ STATE OF __________ ) )ss. COUNTY OF __________ ) This instrument was acknowledged before me on this __________ day of __________, 20___, by __________ (name of person) as lien claimant or __________ (title, position or type of authority granted by lien claimant) of __________ (lien claimant). IN WITNESS THEREOF, I have hereunto set my hand and affixed my official seal on the day and year last above written. __________ Notarial officer My Commission Expires: Seal:

Wyoming lien filing deadline

Contractor: within 150 days. Everyone else: within 120 days. Counted from the earlier of the last work or materials or substantial completion of the project. (Wyoming Statutes 29-2-106). A waiver does not stop this clock. See deadlines in every state.

This page is general information, not legal advice. The forms are the words of the statute as published by the state; laws change, so check the current code, and ask a construction attorney in Wyoming about anything unusual.

Sources: Wyoming Statutes section 29-10-101, checked 2026-10-09.

FAQ

Does Wyoming require a specific lien waiver form?

Wyoming sets one lien waiver form, with a notary acknowledgment, to be completed in substantially the statutory form. The forms are in Wyoming Statutes section 29-10-101.

Which Wyoming lien waiver form do I use?

Wyoming sets one waiver form for payments, in Wyoming Statutes section 29-10-101. Read it fully before signing, since it sets out what is reserved, such as retainage.

Can I change the wording of the Wyoming form?

Fill in the blanks, but keep the wording. The statute expects its form, and changes can make a waiver unenforceable or give up more than you meant to. Ask an attorney before signing a version that differs.

How long do I have to file a lien in Wyoming?

Contractor: within 150 days. Everyone else: within 120 days. Counted from the earlier of the last work or materials or substantial completion of the project. (Wyoming Statutes 29-2-106). Most states also have notice steps before the lien; read the statute.

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Wyoming Lien Waiver Form (Statutory, Word for Word) | Koira