Fill and Sign the Appointment of Taxpayer Representative Form M 5008 R 490123640

Acknowledgement of Satisfaction Page 1 of 2Prepared by, recording requested by and return to:Name: Company: Address: City: State: Zip: Phone: Fax: Parcel Identification Number:Legal Description:----------------------Above this Line for Official Use Only--------------------- ACKNOWLEDGEMENT OF SATISFACTION--INDIVIDUAL (Iowa Code § 572.23) COMES NOW, _______________________________, as a party claiming a lien against the property described as ________________________________________ ______________________________________________________________________, and would state as follows:1.The undersigned claimed a lien against the above described property on or about the ___ day of ____________, 20____ in the amount of $ _________________.2. The undersigned would hereby acknowledge that said lien has been satisfied by payment in full and that said property should immediately be released from all claims of the undersigned lien claimant.This the _____ day of ___________________, 20____. __________________________Signature Acknowledgement of Satisfaction Page 2 of 2STATE OF IOWACOUNTY OF ______________________ On this ____________ day of ______________________, ___________, before me, a Notary Public, personally appeared __________________________________, to me known to be the person named in and who executed the foregoing instrument, and acknowledged that he/she/they executed the same as his/her/their voluntary act and deed. ______________________________Notary PublicPrint Name: ___________________ (Seal, if any) My commission expires: ____________________