WHEN RECORDED RETURN TO:
Name: ________________________
Address: ______________________
City, State, Zip __________________
701 5th Avenue, Suite 1700, Seattle, Washington 98104
LPB No. 60
)
Claimant )
vs.RELEASE OF LIEN
)
Debtor)
KNOW ALL PERSONS BY THESE PRESENTS, that a certain Lien, claimed by Lien Notice filed and recorded in the office of the County Auditor of ______________________ County, Washington, on the _____________ day of ________________, ______________, recorded under Recording No. _________________, in Record of Liens, Volume No. _________, Page No. _____________ by the above named claimant against the above named owner, for the sum of ____________________________________ Dollars ($______________________ ), upon the following property:
is paid and satisfied, and the same is hereby released.
Tax Account Number: _____________________ DATED: _____________________
________________________________ ____________________________
________________________________ ____________________________
STATE OF WASHINGTON )
ss.
COUNTY OF ________________ )
On this _________ day of ___________________, ______ before me, the undersigned, a notary public in and for the State of Washington, duly commissioned and sworn, personally appeared __________________________________________ known to me to be the individual(s) described in and who executed the within instrument and acknowledged that _____ signed and sealed the same as _______ free and voluntary act and deed, for the uses and purposes herein mentioned.
___________________________________________
Printed Name: _______________________________
Notary Public in and for the State of Washington
Residing at _______________________________
My appointment expires _______________________
STATE OF WASHINGTON )
ss.
COUNTY OF ________________ )
I certify that I know or have satisfactory evidence that ___________________ is the person who appeared before me, and said person acknowledged that _____ signed this instrument, on oath stated that ______ was authorized to execute the instrument and acknowledged it as _____________________________ of _______________________ to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument.
Dated: ___________________
______________________________________________________
Printed Name: __________________________________________
Notary Public in and for the State of Washington
Residing at __________________________________________
My appointment expires __________________________________
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