Fill and Sign the Washington Lien Mechanics 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—CORPORATION Reference No./Assessor’s Property Tax Parcel No./Account No. _________________________________ I, ___________________________________ , as representative of _________________________________ , a _________________________________ corporate 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 ______ . _________________________ Corporation __________________________ By Print Name: _____ _________________ Title: _____ ______________________ Attest: Secretary Release of Lien Claim Page 1 of 2 STATE OF WASHINGTON COUNTY OF ______________ On this _____ day of ______________ , ___________ , before me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared __________________________________ and ___________________________________ , to me known to be the __________________________________ and __________________________________ , respectively, of ___________________________________ , the corporation that executed the foregoing instrument and acknowledged the said instrument to be the free and voluntary act of and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that __________________________________ are/is authorized to execute the said instrument and that the seal affixed is the corporate seal of said corporation. Witness my hand and seal the day and year first above written. ______________________________ Notary Public Printed Name: _________________ My Commission Expires: ______________ WA § 60.04.071 Release of Lien Claim Page 2 of 2