Release of Material Provider’s Lien

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Release of Material Provider’s Lien

STATE OF ___________

COUNTY OF _________

_____________, referred to as HOLDER, is the owner/claimant of that certain Material provider’s lien, acknowledges payment in full of the same, which was recorded at ________________ Book, Book ___, page ____ of the _________ County, State of ___________, and consents to the release of the property from the lien and satisfaction of the Material provider’s lien on the record.

Dated: ________________________

___________________________________________

_____________, having being duly sworn to tell the truth, acknowledges the execution of this release of Material provider’s lien for the purposes stated herein.

__________________________________________

Notary

My commission expires: ___________________