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Chapter 21

Form 21-14

Partial Release of Mechanic’s and Materialman’s Lien

Notice of confidentiality rights: If you are a natural person, you may remove or strike any or all of the following information from any instrument that transfers an interest in real property before it is filed for record in the public records: your Social Security number or your driver’s license number.

Basic Information

Date:

Claimant:

Property:

Project: [describe project]

Claimant filed its affidavit claiming a mechanic’s and materialman’s lien on the Prop­erty on [date].

The lien was asserted by Claimant for its [labor/materials/labor and materials] generally described as [describe, e.g., specially fabricated and installed plumbing, heating, ventilating, and air-conditioning duct work, equipment, and allied systems] furnished for the Project located on the Property.

The described [labor/materials/labor and materials] were furnished by Claimant for construction of the Project under [a contract/an agreement] with [name of original contractor], as original contractor for the Project.

An agreement has been reached for a partial release of the lien claim against the Prop­erty.

Claimant hereby releases $[amount] of its mechanic’s and materialman’s lien against the Property but specifically preserves the balance of its lien in the amount of $[amount].

   
[Name of claimant]

Include acknowledgment.