Certification of Satisfaction of Lien

A certification of satisfaction of lien sample form.










Whereas, on [date] , [lien holder] caused a lien to be filed for record in the office of [name of office] of County, State of , which was duly recorded in Volume , page , of , against property owned by [owner] , of [address] , for [description of work performed] by [name of lien holder], the description of which is as follows:

Whereas, on [date] , [owner] fully satisfied the indebtedness secured by said mechanic's lien.

Therefore, in consideration of said payment, [lien holder] hereby certifies that said lien is released and discharged, and directs the County [name of office] to discharge of record said lien.

Dated:______________________

_________________________ [Signature]

[Acknowledgment]




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