Partial Release of Lien Template
This Partial Release of Lien is made in accordance with the relevant state laws and is intended to partially release and satisfy a previously recorded lien. The original lien was recorded against the property described below, owing to the provision of labor, services, or materials. This document does not fully satisfy or release the entire lien but only releases the lien to the extent of the payment received and as described herein.
Please fill in the appropriate information where indicated.
State of Recording: ___________________________
Date of Original Lien Recording: ___________________________
Original Lien Document Recording Number: ___________________________
Property Owner's Full Name: ___________________________
Property Owner's Address: ___________________________
Legal Description of Property Subject to Partial Lien Release (attach additional documentation if necessary):
________________________________________________________________
Total Amount of Original Lien: ___________________________
Amount Paid for Partial Release: ___________________________
Remaining Balance After Partial Release: ___________________________
This Partial Release of Lien applies to the following specifically described labor, services, or materials provided (if necessary, attach additional information):
________________________________________________________________
The undersigned lienholder hereby acknowledges receipt of the payment stated above and agrees that the lien against the property described above is partially released to the extent of such payment. It is understood that this Partial Release of Lien does not affect other rights the undersigned may have to pursue remaining amounts due.
Lienholder's Full Name: ___________________________
Lienholder's Address: ___________________________
Lienholder's Signature: ___________________________
Date: ___________________________
State of __________
County of _________
On this day, before me, the undersigned notary public, personally appeared ___________________________, known to me (or satisfactorily proven) to be the person whose name is subscribed to the above Partial Release of Lien, and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
Notary Public Signature: ___________________________
Date: ___________________________
My Commission Expires: ___________________________