Fillable Printable Discharge of Construction Lien Claim

Discharge of Construction Lien Claim

TO THE RECORDING OFFICER, COUNTY OF

1. the Claimant whose name is

and whose address is

filed a CONSTRUCTION LIEN CLAIM against the below stated real property (called the “Property”) owned by

for the value of work, services, materials or equipment provided in accordance with a contract between the Claimant and

2. The Property is described as Block , Lot , on the Tax Map of the

of , County of , State of New Jersey.

3. The lien claim was filed on as No. in Book at Page

4. A Notice of Unpaid Balance and Right to File Lien (if any) was filed as No. in Book

at Page

5. Amendments to the original claim were recorded in Book at Page

6. DISCHARGE. I hereby request and authorize the CONSTRUCTION LIEN to be DISCHARGED.

Date: Signed:

Name/Title:

On Behalf of:

Note: This form must be signed by the Claimant or the Attorney for the Claimant.

Acknowledgments (Complete Applicable One)

STATE OF NEW JERSEY, COUNTY OF SS:

I CERTIFY that on

personally came before me and stated to my satisfaction that this person (or if more than one, each person):

(a) was the maker of this instrument; and,

(b) executed this instrument as his or her own act.

(Print name and title below signature)

STATE OF NEW JEREY, COUNTY OF SS:

I CERTIFY that on

personally came before me and stated to my satisfaction that this person (or if more than one, each person):

(a) was the maker of this instrument

(b) was authorized to and did execute this instrument as

of the entity named in this instrument; and,

RECORD AND RETURN TO:

(Print name and title below signature)

(For Recorder’s Use Only)

June 29, 2009