REQUEST TO RELEASE MECHANIC LIEN ACCOUNT
I, ____________________________, hereby request that the County Treasurer
release the balance of mechanic lien funds held in:
Court and Trust Account #_________ for ML#_______________ ,
in the matter of: {______________________} v{_________________________}
I affirm that:
____I am the depositor in this matter Or
____I am the attorney representing the depositor in this matter
and that I have attached one of the following set of forms with this request:
______ An original notarized Affidavit of Lienor and copy Or
______ two copies of either: a Satisfaction of Lien in whole or part, or a Release
of Lien, notarized and stamped by the County Clerk.
I understand that the release of funds to the lienee from the above account will be
made in accordance with current law and procedure.
X ______________________________
Date:_____________________________
Department of Finance & Taxation
330 Center Drive
Riverhead, New York 11901
631-852-1534
Angie M. Carpenter
County Treasurer
