Fill and Sign the Nevada Lien Form

Discharge or Release of Notice of Lien Page 1 of 2 Prepared by, recording requested by and return to: Name: ___________________ Company: ____________________ Address: ____________________ City: ___________________ State: _____ Zip:__________ Phone: _________________ Fax: _________________ ----------------------Above this Line for Official Use Only--------------------- DISCHARGE OR RELEASE OF NOTICE OF LIEN—INDIVIDUAL (N.R.S. §108.2437) (Assessor’s Parcel Numbers __________________________________) NOTICE IS HEREBY GIVEN THAT: The undersigned did, on the _____ day of the month of _____________ of the year 20______, record in Book ______, as Document No. _________, in the office of the county recorder of _____________ County, Nevada, its Notice of Lien, or has otherwise given notice of his intention to hold a lien upon the following described property or improvements, owned or purportedly owned by ________________________________, located in the County of ________________, State of Nevada, to wit: ________________________________________________________________________ _______________________________________________________________________________________________________________________________________________. [Legal Description or Address of the Property or Improvements] (If legal description is provided in metes and bounds, also include the name and mailing address of the person who prepared the legal description. If a document including the same legal description previously has been recorded, include all information necessary to identify and locate the previous recording, but not the name and mailing address of the person who prepared the legal description). NOW, THEREFORE, for valuable consideration the undersigned does release, satisfy and discharge his or her notice of lien on the property or improvements described above by reason of this Notice of Lien. ______________________________ Signature of Lien Claimant ______________________________ Type or Print Name Discharge or Release of Notice of Lien Page 2 of 2 NV § 108.2437(2) State of Nevada County of _______________ This instrument was acknowledged before me on _______________ by _________________________________. _________________________ (Signature of notarial officer) (Seal, if any) _________________________ (Title and rank (optional)) (My commission expires (optional): __________)