Fill and Sign the Acknowledgment of Satisfaction of Lien Individual Montana Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: __________________ Company: ___________________ Address: _____________________ City: _________________ State: _____ Zip: __________ Phone: _________________ Fax: _________________ ACKNOWLEDGEMENT OF SATISFACTON OF LIEN-INDIVIDUAL (M.C.A.§ 71-3-537) COMES NOW, __________________________________ , as a party claiming a lien on the property described as _______________________________________________________________________ , and would state as follows: 1. The undersigned hereby acknowledges that on or about the _____ day of _____________ , 20 ______ , the undersigned received a payment from _________________________________ in the amount of $ ____________ . 2. Said amount represents payment in full for labor performed and/or materials furnished by the undersigned for the following described improvements and/or materials, ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ . 3. By this document the undersigned lien claimant hereby releases any lien he may have in connection with the above - described property for labor performed and materials furnished and acknowledges the satisfaction thereof. This the _____ day of _____________ , 20 ______ . __________________________________ Signature of Lien Holder _____ _____________________________ Type or Print Name Acknowledgement of Satisfaction of Lien Page 1 of 2 STATE OF MONTANA COUNTY OF ________________ The instrument was acknowledged before me on ______________ (date), by _____________________________________ (name(s)). ______________________________ Notary Public (SEAL) Title (and Rank): _______________ Printed Name: _________________ Residing at:____________________ My Commission Expires: ______________ Acknowledgement of Satisfaction of Lien Page 2 of 2