Fill and Sign the Notice of Satisfaction Individual Wyoming 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--INDIVIDUAL (Wyo. Stat. §29-1-302) On this the _____ day of _______________ , 20 ______ , the undersigned 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 lien claimant hereby releases any lien it may have in connection with the above - described property for labor performed and materials furnished. __________________________________ Signature of Lien Holder _____ _____________________________ Type or Print Name Notice of Satisfaction of Lien Page 1 of 2 STATE OF WYOMING COUNTY OF __________________ This instrument was acknowledged before me on the ______ day of ______________ , 20 ______ , by __________________________________ (name(s) of person(s)). ___________________________________ (Seal, if any) (Signature of notarial officer) ___________________________________ Title (and Rank) My Commission Expires: __________________ Notice of Satisfaction of Lien Page 2 of 2