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Satisfaction Of Lien Claim

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Return (enclosed self-addressed stamped address)

Name:

Address:

This Instrument Prepared by:

Address:

Property Appraisers Parcel Identification (Folio) Number(s):

SPACE ABOVE THIS LINE FOR PROCESSING DATA

Satisfaction of Lien Claim

Know All Men By These Presents,

That

, a

Florida Corporation, the owner of a certain lien bearing date the

day of

, A.D.

(year), and recorded in the office of the Clerk of the Circuit Court in and for the County of Seminole, State

of Florida, in Official Records Book

, page

, upon the following described property situate, lying

and being in Seminole County, State of Florida, to-wit:

for building materials furnished upon the above described property owned by

for value received, does hereby release its said lien upon the property herein above described, and hereby directs the

Clerk of the said Circuit Court to satisfy said lien of record.

(CORPORATE

In Witness Whereof, the grantor has caused these presents to be

SEAL)

executed in its name, and its corporate seal to be hereunto affixed, by

its proper officers thereunto duly authorized, the day and year first

above written:

ATTEST:

Secretary

Signed, sealed and delivered in the presence of:

By:

Witness Signature (as to President)

President (Signature)

Printed Name

Witness Signature (as to President)

Printed Name

Satisfaction Of Lien Claim

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