Public Pre-Work Notice to Contractor

Please Return To:

Recording Requested By:

 

 

 

 

 

 

 

 

 

SPACE ABOVE FOR RECORDER’S USE

RELEASE OF CLAIM OF LIEN

Claimant

(Give name & address)

 

 

 

 

 

 

Property Owner (Owner)

(Give name & address)

 

 

 

 

 

 

Property Liened (Property)

(Give municipal address & legal description)

 

 

 

 

State of Georgia

County of

The Claimant, undersigned, hereby releases, discharges, and/or acknowledges satisfaction of that certain notice and claim of mechanic’s lien recorded on the _____ day of ___________, 20____, against the Owner, at the office of the County Recorder of __________ County, State of Georgia in Lien Book Number __________, Page ___________, as instrument number _______________, 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 the time required by Georgia law, and seeks the release of the instrument.

[______]   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 ______________, Agent for Claimant, personally came and appeared before me, and executed this instrument in the agent’s stated capacity.

 

Signed this ____ day of _________________, 20____

Agent for Claimant

Signed by:

Title:

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