Fill and Sign the Missouri Mechanic Lien 497313086 Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: _____________________ Company: ____________________ Address: _____________________ City: __________________ State: _____ Zip: __________ Phone: __________________ Fax: ________________ PARTIAL RELEASE OF MECHANIC'S LIEN- MULTIPLE LOTS, TRACTS OR PARCELS--CORPORATION (M.A.S. § 429.032(2)) STATE OF MISSOURI COUNTY OF __________________ COMES NOW _______________________________ , (name of lien claimant) the lien claimant and does hereby partially release its mechanic's lien filed on __________________________________ , (date lien filed) and filed for record as lien number __________________________________ (lien number or book and page numbers) The amount of the original mechanic's lien debt is $ ________________ . The amount of the original mechanic's lien debt which is now satisfied is $ _________________ . The lots, tracts or parcels which are being released are more fully described as follows: [Legal description of lots, tracts or parcels which are being released] ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ _______________________________________ . ______________________________ Lien Claimant By ___________________________ (Signature of authorized representative) _____ _________________________ Type or Print Name Partial Release of Mechanic’s Lien Page 1 of 2 Attest: Secretary STATE OF MISSOURI COUNTY OF _________________ On this _____ day of ______________ , 20 ______ , before me personally appeared ____________________________________ , to me personally known who, being by me duly sworn, did say that he/she is the _________________________________ of ____________________________________ , a Missouri corporation, and that the seal affixed to the foregoing instrument is the corporate seal of said corporation, and that said instrument was signed and sealed on behalf of said corporation by authority of its board of directors; and said _____________________________________ acknowledged said instrument to be the free act and deed of said corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal in the county and state aforesaid, the day and year first above written. ______________________________ Notary Public My commission expires: _______________ MO § 429.032(2) Partial Release of Mechanic’s Lien Page 2 of 2