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Back to Forms for 'Liens'.





 __________________ at ________________  filed for record in the office of  _______________ a claim of lien that was recorded in Volume ____________, page ___________ of the Lien Records of the County of _______________ .  The lien holder gave notice of a lien on _____________________ of _____________ of  ____________________ for  such property.


On  _____________________ the owner fully satisfied the provisions described in the mentioned claim of lien.  Therefore, the lien holder releases the mentioned claim of lien against the property of the owner and allows for lien to be discharged.


Pursuant to _________________________, the lien holder authorizes and directs the County Recorder of  ________________ County,  __________________ State, to discharge of record the described lien.



_________________                                    _____________

Signature                                                       Date


_________________                                    ______________

Signature                                                       Date


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