Release Of Mechanics Lien Form - California

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Recording requested by
When recorded mail to:
For recorder’s use
(CA Civil Code
8120-8130, 8400 et seq.)
The claim of mechanics' lien asserted by ______________________________________________
(name of claimant as printed on Contractor’s License or Secretary of State records) against
(owner(s)) affecting the real property in the city of __________________________, County of
____________________________, California, located at (address and/or sufficient description):
is hereby waived and released, and that certain Mechanics' Lien recorded on _________________
(date) as Instrument No. ___________________ and/or in Book/Reel _____________________,
Page/Image __________________, in the official records of _____________________________
County, California, is hereby fully satisfied, released, and discharged.
(Signature of Claimant or Authorized Agent)
(Print Name and Title)
A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document
to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of ______________________
(This area for official Notary Seal)
On _______________________________________ before
me,_________________________________________, a notary public,
personally appeared _________________________________________,
who proved to me on the basis of satisfactory evidence to be the
person(s)whose name(s) is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the same in his/her/their
authorized capacity(ies), and that by his/her/their signature(s) on the
instrument the person(s), or the entity upon behalf of which the person(s)
acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State
of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature ______________________________


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