Fill and Sign the Discharge of Lien Corporation Form

Discharge 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 of Lien – Corporation (N.Y. Lien Law § 19) COMES NOW, __________________________________, as a representative of ___________________________________ a ________________________________ corporationwhich furnished labor and/or materials for the improvement of the property located at and described as _______________________________________________________________________, whose address is ______________________________________________________________________ and would state as follows:1. On or about the _____ day of ________________ , 20_______, the undersigned filed a Notice of Lien regarding the above described property.2.On or about the _____ day of ________________ , 20_______, said lien was satisfied ( ) as to the whole of the above described property ( ) as to part of the above described property, said part being described as _______________________________________________________________________. 3.By this certificate the undersigned lien claimant would wholly discharge and release said lien. This the _____ day of ________________, 20 _______. ________________________Signature________________________Type or Print Name________________________Title Discharge of Lien Page 2 of 2 ________________________Corporation Attest: Secretary Acknowledgment of Corporation STATE OF NEW YORKCOUNTY OF ________________ On the ______ day of _______________ in the year _________ before me personally came ____________________________________ to me known, who, being by me duly sworn, did depose and say that he/she/they reside(s) in _______________________________________________________________________ (if the place of residence is in a city, include the street and street number, if any, thereof); that he/she/they is (are) the ____________________________________ (president or other officer or director or attorney in fact duly appointed) of the _____________________________________ (name of corporation), the corporation described in and which executed the above instrument; and that he/she/they signed his/her/their name(s) thereto by authority of the board of directors of said corporation. ______________________________Notary PublicPrinted Name: _________________ My Commission Expires: ______________