Mechanic's Lien Discharge
Whereas, on [date] __________________________,
[lienholder] _______________________________________ caused a lien to
be filed for record in the office of [name of office] _________________________ of
_______________________ County, State of ____________, which was duly recorded in Volume
____________, page ______________, of , against property owned by
[owner] _______________________________, of
[address] ________________________________, for
[description of work performed] _____________________________ by
[name of lienholder] _______________________________________,
the description of which is as follows:
Whereas, on [date] ______________, [owner] _______________________ fully satisfied the
indebtedness secured by said mechanic's lien.
Therefore, in consideration of said payment, [lienholder] _______________________
hereby certifies that said lien is released and discharged, and directs the County
[name of office] ________________________ to discharge of record said lien.
Dated:______________________
Witnesses
_____________________________ 
__________________________
(Seal)
State of __________________ )
County of ________________ )
This day, before me, a Notary Public in said County, personally came ______________, and
_____________________, and acknowledged the signing of this document to be a voluntary
act.
IN WITNESS WHEREOF I have hereunto set my hand and official
seal.
My commission expires: __________________
___________________________
Notary Public
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