Fill and Sign the Discharge and Release of Lien Corporation or Llc Form

Discharge and Release of Lien Page 1 of 2Prepared by, recording requested by and return to:Name: _____________________Company: ____________________Address: ______________________City: __________________________State: _____Zip: _________Phone: _____________________Fax: _______________________----------------------Above this Line for Official Use Only--------------------- DISCHARGE AND RELEASE OF LIEN – CORPORATION or LLC (Conn. Gen. Stat. § 49-51) COMES NOW, ___________________________________, as a representative of ___________________________________ a ____________________ business entity having filed a certificate of lien claiming a lien interest in the real property described as: ________________________________________________________________________ _____________________________________________________________________, and would state as follows:1.On or about the _____ day of _________________ , 20_____, the undersigned;( ) received a request from __________________________________ , requesting a release of the above-mentioned lien. ( ) received satisfaction of the lien claim in full. 2. The undersigned filed a certificate of lien on or about the _____ day of ________________, 20_____, said lien being recorded in the records of ___________________, Town _________________________, Volume _________, Page _______. 3.Pursuant to Conn. Gen Stat §49-51 and § 52-380d, the undersigned hereby fully and completely discharges and releases said lien. This the _____ day of _______________, 20_____ . ________________________________Company NameBy: ______________________________________ Signature Title ________________________________Type or Print Name Discharge and Release of Lien Page 2 of 2________________________Witness________________________WitnessAttest: Secretary Acknowledgment for Corporation or LLC State of Connecticut County of ________________________ On this the ______________ day of ______________, ______________, before me, a Notary Public, personally appeared __________________________________________ (Name of Officer) who acknowledged himself/herself to be the ________________________ (Title of Officer) of ____________________________ (Name of Company), a ________________, and that he/she, as such ____________________________ (Title of Officer), being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself/herself as ____________________________ (Title of Officer). In witness whereof I hereunto set my hand. Date:___________________________ ______________________________Notary PublicPrint Name: ___________________ My Commission Expires: _____________________