Fill and Sign the Cancellation of Lien Corporation Form

Cancellation of Lien Page 1 of 2Prepared by, recording requested by and return to:Name: _________________Company: __________________Address: ____________________City: ________________State: _____Zip: __________Phone: ________________Fax: ________________Nature of Document: Cancellation of Lien----------------------Above this Line for Official Use Only--------------------- CANCELLATION OF LIEN- CORPORATION COMES NOW, _________________________________, as a representative of _________________________________ a __________________________________ corporation claiming a lien on the property described as ________________________________________________________________________ _______________________________________________________________________,and would state as follows:1.The undersigned recorded a lien against the above described property, owned by _________________________________, on the _____ day of _______________, 20______, in the amount of $_______________.2.The undersigned hereby acknowledges that on or about the _____ day of ______________, 20______, the undersigned received a payment from ________________________________ in the amount of $______________. 3. Said amount represents payment in full for labor performed and/or materials furnished by the undersigned for the following described improvements and/or materials, ________________________________________________________________________________________________________________________________________________ _______________________________________________________________________.4.By this document the undersigned lien claimant hereby cancels any lien the lien claimant may have in connection with the above-described property for labor performed and materials furnished. This the _____ day of ________________, 20______. __________________________________Signature __________________________________Type or Print Name Cancellation of Lien Page 2 of 2__________________________________Title__________________________________Corporation Attest: Secretary Acknowledgment of Corporation State of UtahCounty of __________________On the ______ day of __________________ , 20______, personally appeared before me ______________________________,who being duly sworn, did say that he/she is the ________________________ of ______________________________ , a corporation, and that said instrument was signed on behalf of said corporation by authority of a resolution of its Board of Directors, and said ______________________________ acknowledged to me that said corporation executed the same.(Seal)Notary PublicMy commission expires: Type or Print NameResiding at: