Mechanics Lien Release

Release of Mechanics Lien

Claimant

(Give name & address)

 

 

 

 

 

 

 

Property Owner (Owner)

(Give name & address)

 

 

 

 

 

 

 

Property Liened (Property)

(Give municipal adress& legal description)

 

 

 

 

 

State of Indiana

County of

The Claimant, und ersigned, hereby releases, 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 ______________________ Count y and identified as ________________________________________________________, 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 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.

State of

County of

On the date inscribed hereon, _______________ , Agent for Claimant, personally came and appeared before me, and executed this instrument in the agent ’ s stated capacity.

Notary Public

Signed this ____ day of _________________, 20____.

Agent for Claimant

Signed by:

Duly Authorized

Title:

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