Fill and Sign the Release of Lien Claim Mechanics Liens Individual Washington Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: ___________________ Company: ___________________ Address: _________________________ City: __________________ State: _____ Zip: __________ Phone: ________________ Fax: _________________ RELEASE OF LIEN CLAIM--INDIVIDUAL Reference No./Assessor’s Property Tax Parcel No./Account No. _____________________________ I, _______________________________ , Contractor/Subcontractor on the project located at _______________________________________________________________________ do hereby request that the lien recorded at Book ______ , Page ________ in the office of the register of titles in _______________ County, Washington, be released. This the _____ day of _______________ , 20 ______ . __________________________ Signature _____ _____________________ Type or Print Name STATE OF WASHINGTON COUNTY OF ________________ On this day personally appeared before me __________________________________ , to me known to be the individual(s) described in and who executed the within and foregoing instrument, and acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed, for the uses and purposes therein mentioned. Given under my hand and seal of office this _____ day of ______________ , 20 ______ . ______________________________ Notary Public residing at _________ Printed Name: _________________ My Commission Expires: _______________ Release of Lien Claim Page 1 of 2 WA § 60.04.071 Release of Lien Claim Page 2 of 2