Mechanics Lien Release Form

Recording Requested by:

 

 

 

 

Please Return To:

 

 

 

 

 

 

 

 

 

 

 

 

SPACE ABOVE FOR RECORDER’S USE

AUTHORITY TO CANCEL NOTICE OF CLAIM OF LIEN

CLAIMANT (Give name & address)

 

 

 

 

 

THE LIEN

Recorded ____ /_____ /20____

Book ________  Page _________

Other: _______________________

Property Liened (Property) (Give municipal address & legal description)

 

 

 

State of Arizona, County of

Property Owner (Owner) (Give name & address)

 

 

 

You are hereby authorized to mark “Cancelled” on the above-identified Lien

Notary: On the ____ day of ____________, 20____, In the State of ______________, County of ______________, ________________, Agent for Claimant, personally came and appeared before me, and executed this instrument in the agent’s stated capacity, with proper authority from the Claimant.

 

Notary Public

Signed this ____ day of _________________, 20____.

 

Agent for Claimant

Signed by
Title:
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