Fill and Sign the Notice of Satisfaction Corporation or Llc Missouri Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: _____________________ Company: ___________________ Address: _____________________ City: ______________________ State: _____ Zip: __________ Phone: ___________________ Fax: ___________________ NOTICE OF SATISFACTION OF LIEN--CORPORATION ( M.A.S. § 429.120) On this the _____ day of ______________ , 20 ______ , the undersigned representative of _________________________________ a _________________________________ corporation does hereby acknowledge receipt of payment from ___________________________________ in the amount of $ ________________ which represents payment in full for labor performed and/or materials furnished by _______________________________ for the following improvements ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ to the property located at: _______________________________________________________________________ . By this document the undersigned corporate lien claimant hereby releases any lien it may have in connection with the above - described property for labor performed and materials furnished. __________________________________ Signature _____ _____________________________ Type or Print Name _____ _____________________________ Title _____ _____________________________ Corporation Attest: Secretary Notice of Satisfaction of Lien Page 1 of 2 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 § 429.120 Notice of Satisfaction of Lien Page 2 of 2