Discharge of Mechanics Lien

Please Return To:
Recording Requested By:

















Space Above For Recorderʼs Use


Florida Construction Lien Law 713.21


(Give name & address)






Property Owner (Owner)

(Give name & address)






Property Liened (Property)

(Give municipal address & legal description)




State of Florida

County of

The Claimant, undersigned, hereby relea ses, discharges, and/or acknowledges satisfaction of that certain notice and claim of mechanic ’ s recorded on the _____ day of ___________, 20_________, against the Owner, at the office of the County Recorder of __________ County in Book ________________ of Official Records, page ______________, as instrument number ( “ CFN ” ) _______________, affecting the Property. The aforesaid notice and claim of mechanic ’ s lien is released, discharged and/or satisfied as follows: (Give reason for cancellation)

[____]   Lien has been paid and satisfied

[____]   Claimant did not file suit to enforce lien within 90 days from filing, and seeks the release of the instrument as per the California Civil Code

[____]    Claimant wishes to release the Claim of Lien for other reasons, but reserves any rights available to Claimant under law to pursue collection of the claim amount.

Notary: On the ____ day of ____________, 20______, In the State of ______________, County of ______________, before me, undersigned Notary Public, pers onally appeared _________________________ , the __________________ (title) for Claimant, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to within the instrument and acknowledged to me that he/she/t hey executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under the PENALTY OF PERJU RY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official sea


Signed this ____ day of _________________, 20____.


Signed by:

















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