RECORDING REQUESTED BY
AND WHEN RECORDED MAIL DOCUMENT TO:
NAME
STREET
ADDRESS
CITY, STATE &
ZIP CODE
TITLE ORDER NO. ESCROW NO. SPACE ABOVE THIS LINE FOR RECORDER’S USE ONLY
APN
RELEASE OF MECHANIC'S LIEN
The Mechanics Lien claimed by __________________________________________________________________________________
against ________________________________________________________, and claiming a lien upon the following described real
property situated in the City of _______________________ County of _______________________, State of California, described as:
dated the day of , 20 , and recorded in the office of the County Recorder of
County on the day of , 20 , as Instrument No. is hereby released, the
claim there under having been fully paid and satisfied.
Dated _______________________________
_____________________________________________
Signature of Claimant
_____________________________________________
Typed or Printed Name of Claimant
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.
*There are various types of deed forms depending on each person’s legal status. Before you use this form you may want to consult an attorney if you
have questions concerning which document form is appropriate for your transaction.
STATE OF _________________________________
COUNTY OF _______________________________
On ___________________________________ before me, _______________________________________________________________,
(Date) (Name and title of the officer)
personally appeared _______________________________________________________ _ , who proved to me on the basis of
(Name of person signing)
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 of officer
(Seal)
