Fill and Sign the Mt Corporation Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: ___________________ Company: ____________________ Address: ____________________ City: ___________________ State: _____ Zip: _________ Phone: __________________ Fax: ___________________ ACKNOWLEDGEMENT OF SATISFACTON OF LIEN-CORPORATION (M.C.A.§ 71-3-537) COMES NOW, __________________________________ , as a representative of ___________________________________ a _________________________________ corporation which has claimed a lien on the property described as _______________________________________________________________________ , and would state as follows: 1. The undersigned hereby acknowledges that on or about the _____ day of ______________ , 20 ______ , the undersigned received a payment from _________________________________ in the amount of $ _____________________ . 2. Said amount represents payment in full for labor performed and/or materials furnished by the undersigned for the following described improvements and/or materials, ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ . 3. By this document the undersigned lien claimant hereby releases any lien he may have in connection with the above - described property for labor performed and materials furnished and acknowledges the satisfaction thereof. This the _____ day of _______________ , 20 ______ . __________________________________ Signature _____ _____________________________ Type or Print Name _____ _____________________________ Title _____ _____________________________ Corporation Acknowledgement of Satisfaction of Lien Page 1 of 2 Attest: Secretary STATE OF MONTANA COUNTY OF ______________ This instrument was acknowledged before me on _______________ (date), by ____________________________________ (name(s)) as type of authority, e.g., officer, trustee, etc.) of __________________________________ (party on whose behalf instrument was executed). ______________________________ Notary Public (SEAL) Title (and Rank): _______________ Printed Name: _________________ Residing at:____________________ My Commission Expires: _______________ Acknowledgement of Satisfaction of Lien Page 2 of 2