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Fill and Sign the Partial Satisfaction of Lien Claim Individual Wisconsin Form

Fill and Sign the Partial Satisfaction of Lien Claim Individual Wisconsin Form

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PARTIAL SATISFACTION OF CLAIM FOR LIEN -- INDIVIDUAL (§779.13, Wis. Stats.) Lien No.: _____________________ COMES NOW, ________________________________ , as a lien claimant, having filed a Claim for Lien against Owner(s), _________________________________ , in the amount of $ ________________ , which Claim was docketed by the Clerk of Circuit Court for ________________ County, Wisconsin on the _____ day of _________________ , 20 ______ , does hereby acknowledge partial satisfaction of this Claim and authorizes the Clerk of Circuit Court to enter partial satisfaction of the Claim on the lien docket in the sum of $ ____________ , leaving a balance of $ _____________ remaining. ______________________________ Signature _____ _________________________ Type or Print Name STATE OF WISCONSIN COUNTY OF _________________ The above-named, known by me to be the person who executed the foregoing Partial Satisfaction of Claim for Lien, came personally before me on the _____ day of _______________ , 20 ______ , and acknowledged its execution and if the Claimant is a corporation, acknowledged further that the Partial Satisfaction was executed for this corporation by its authority. _______________________________ Notary Public My Commission Expires: ________________ Partial Satisfaction of Claim for Lien Page 1 of 1

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