Partial Release of Lien
This Partial Release of Lien is made on this _____ day of _______________, 20____, and is intended to partially release and satisfy that certain lien executed by _________________________, hereinafter referred to as the "Lienholder", and recorded in the Official Records of ____________________, State of ________________________, under Document Number ____________, against the property owned by _________________________, hereinafter referred to as the "Property Owner", and legally described as:
_______________________________________________________________________________________________________
THIS DOCUMENT serves as a legal notice that the Lienholder acknowledges receipt of payment in the sum of $__________ from the Property Owner or their agent, which payment is intended to partially satisfy the obligation which gave rise to the lien against the property described above. Therefore, the Lienholder hereby releases a portion of the property, specifically:
_______________________________________________________________________________________________________
from the lien, and retains the lien rights only to the extent necessary to secure the unpaid balance of the obligation.
BY SIGNING THIS DOCUMENT, the Lienholder represents that the information provided in it is true and correct and that they are legally authorized to release the lien to the extent described herein.
Executed this _____ day of _______________, 20____.
LIENHOLDER:
Signature: ______________________________________
Print Name: _____________________________________
Title: __________________________________________
Address: ________________________________________
________________________________________________
Phone Number: __________________________________
Email Address: __________________________________
STATE OF ________________________
COUNTy OF ________________________
On this _____ day of _______________, 20___, before me, a notary public, personally appeared _________________________________________, known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing instrument and acknowledged that he/she/they executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
___________________________________
Notary Public
My Commission Expires: _______________