Fill and Sign the Release Lien Statement Form

RELEASE OF LIEN Lienholder, of ________________________________ , contracted with _________________ , on ____________________ , to supply services for the construction of a house on property owned by ___________________________________________________ of _____________________ , which property is described as follows:       On __________________ , lienholder filed for record a notice of lien against the above - described property in the Office of the Registrar of ____________________ County, State of ____________________ , which notice of lien was duly recorded in Volume _______ , Page _______ , of the Lien Records of such County. In consideration of $ ___________________ , receipt of which is acknowledged, lienholder releases the above-described property and owner personally from all liability arising from the labor performed and materials furnished by lienholder under the terms of the above - mentioned contract, and authorizes and directs that the above - mentioned lien be discharged of record. IN WITNESS WHEREOF the Parties have Agreed and Executed this Agreement on this _____ day of ______________ , 20 ___ . ______________________________________________________ Lienholder Subscribed and sworn before me on this _____ day of ______________ , 20 ___ . Notary Public_____________________________________________________(seal)