Fill and Sign the New York Corporation Ny Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: _____________________ Company: ___________________ Address: ______________________ City: __________________ State: _____ Zip: _________ Phone: _________________ Fax: __________________ Discharge of Lien – Corporation (N.Y. Lien Law § 19) COMES NOW, __________________________________ , as a representative of ___________________________________ a ________________________________ corporation which 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 1 of 2 _____ ___________________ Corporation Attest: Secretary Acknowledgment of Corporation STATE OF NEW YORK COUNTY 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 Public Printed Name: _________________ My Commission Expires: ______________ Discharge of Lien Page 2 of 2