Mechanic Lien Release Form

MECHANIC LIEN RELEASE

U.S. BANK HOME MORTGAGE LOAN NUMBER: _________________________________.

DATE: _________________

THE UNDERSIGNED HEREBY ACKNOWLEDGES A CONTRACT IN THE AMOUNT OF

$___________________._______WITH A CURRENT BALANCE DUE OF

$___________________._______ FOR ALL LABOR, SKILL, AND MATERIAL

FURNISHED OR TO BE FURNISHED TO THE FOLLOWING REAL PROPERTY

LOCATED AT _________________________________________________________________

(“REAL PROPERTY”) OWNED BY ___________________________________________

AND FOR VALUE RECEIVED HEREBY WAIVES ALL RIGHTS ACQUIRED BY THE

UNDERSIGNED TO FILE OR RECORD A MECHANIC’S LIEN AGAINST SAID REAL

PROPERTY FOR LABOR, SKILL, OR MATERIAL FURNISHED TO SAID REAL

PROPERTY. THE UNDERSIGNED AFFIRMS THAT ALL MATERIALS FURNISHED BY

THE UNDERSIGNED HAVE BEEN PAID FOR, AND ALL SUBCONTRACTORS

EMPLOYED BY THE UNDERSIGNED HAVE BEEN PAID IN FULL.

________________________________________ _____________________________________

AUTHORIZED SIGNATURE PRINT NAME

______________________________________________________________________________

PRINT COMPANY NAME

******************************ACKNOWLEDGEMENT***************************

STATE OF ___________________________________

COUNTY OF _________________________________

THIS INSTRUMENT WAS ACKNOWLEDGED BEFORE ME ON _______ BY

______________________________________.

_______________________________

(SIGNATURE OF NOTARY PUBLIC)

MY COMMISSION EXPIRES: _____________________________________________.

Fillable Printable Mechanic Lien Release Form