Fill and Sign the Lien Real Estate Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: _______________________ Company: ______________________ Address: _________________________ City: ___________________________ State: ______ Zip: __________ Phone: _____________________ Fax: _______________________ RELEASE OF MECHANICS' LIEN PLEASE TAKE NOTICE THAT the Mechanics' Lien claimed by _________________________ [name of mechanics' lien claimant] and recorded on the real property owned by _______________________________ and located in __________________________ [name of county], California with a legal description of ________________________________________________________________________________ ________________________________________________________________________________ or more specifically described in Exhibit "A" attached hereto is hereby released, the claim having been fully paid and satisfied and that the Mechanics' Lien recorded as Book _____ and Page _____ in the official records of __________________ [name of county], California, is hereby satisfied and discharged. Dated ______________________________ ___________________________________ Signature _____ ______________________________ Print or Type Name ACKNOWLEDGMENT A notary public or other officer completing the certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of ______________________ On ______________________ before me, ______________________ (here insert name and title of the officer), personally appeared ______________________ , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Release of Mechanics’ Lien Page 1 of 2 Witness my hand and official seal. _____________________________________________ Signature (Seal) Release of Mechanics’ Lien Page 2 of 2