Partial Release of Lien
This Partial Release of Lien is made effective as of the ____ day of __________, 20__, under the laws of the State of ______________.
By this document, the undersigned lien claimant, [Claimant's Name], whose address is [Claimant's Address], hereby releases a portion of the lien placed on the property described below, as follows:
Property Information:
Property Address: ____________________________________________
City: ___________________ State: __________ Zip Code: _____________
Legal Description: ____________________________________________
This Partial Release is executed in connection with the contract between [Contractor's Name] and [Owner's Name], executed on the ____ day of __________, 20__, for the project described as:
_____________________________________________________________
The lien claimant acknowledges the receipt of payment in the amount of $______________ for the following work completed:
- _________________________________________________________
- _________________________________________________________
- _________________________________________________________
This document serves as a formal partial release of claims against the property. The remaining lien amount will still remain effective as per applicable state laws.
IN WITNESS WHEREOF, the undersigned has caused this Partial Release of Lien to be signed this ____ day of __________, 20__.
Claimant’s Signature: ______________________________________
Printed Name: ______________________________________
Title: ______________________________________
STATE OF _______________________)
COUNTY OF _______________________)
On this ____ day of __________, 20__, before me, the undersigned notary public, personally appeared _______________________________________, known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to this instrument, and acknowledged that he/she executed it voluntarily for its stated purpose.
WITNESS my hand and official seal.
Notary Public Signature: ________________________________
My commission expires: _______________