Partial refund settlement agreement (template)

Define the limited matter being settled

This editable draft requires project-specific legal review before signing. A partial refund alone does not establish a full release. Describe the precise issue, payment obligation and any matters left open. Do not use this form to waive mandatory rights without qualified advice.

Agreement date and project contract

Client legal name address and representative

Contractor legal name address and representative

Dispute description and relevant payment history

Settlement scope and express exclusions

Legal reviewers and reviewed version

The parties record their agreement concerning [defined deposit dispute]. Subject to the completed terms below, [payer] will pay [recipient] CAD [amount] by [agreed date] using [verified method]. The payment relates only to [identified matter]. Matters expressly remaining unresolved are [list].

Complete conditions and approvals

Payment conditions and responsible person

Treatment of pending chargebacks

Materials ownership return or collection terms

Remaining work or site access obligations

Tax documents and receipts required

Failure to pay procedure reviewed by counsel

Notice contacts and permitted delivery

Optional only if specifically negotiated and legally reviewed: [precise release wording, covered parties, claims, exceptions and effective event]. Omit this section if no release is agreed. Do not infer a release, confidentiality obligation or admission from the refund itself.

Client authorized signature capacity and date

Contractor authorized signature capacity and date

Attachments forming part of agreement

Actual payment reference and receipt

• No unresolved bracketed commercial term remains at signing.
• Any release scope matches the actual agreement.
• Posted chargebacks and refunds have been rechecked.
• A signed copy and proof of performance are retained.

Before you act: this document is general information prepared by ArtBuild to help you organise facts and paperwork. It is not legal advice and has not been reviewed by a lawyer for your situation. Rules differ by province and territory and change over time. Check the official source for your project, and for deadlines, liens, court or insolvency steps, speak with a lawyer licensed where the project is located.