Pennsylvania Mechanics Lien Release Form

RELEASE OF MECHANICS LIEN
IN THE COURT OF COMMON PLEAS OF ________________ COUNTY
Claimant
Property Owner (Owner)
Property Liened (Property)
(Give name & address)
(Give name & address)
(Give municipal address & legal
description)
State of Pennsylvania
County of _______________
The Claimant, undersigned, hereby releases, discharges, and/or acknowledges satisfaction
of that certain notice and claim of mechanic’s recorded on the _____ day of
___________, 20____, against the Owner, in the Court of Common Pleas of
___________________________
County,
and
identified
as
______________________________________________________,
affecting
the
Property. The aforesaid notice and claim of mechanic’s lien is released, discharged
and/or satisfied as follows: (Give reason for cancellation)
[____] Lien has been paid and satisfied
[____] Claimant wishes to release the Claim of Lien for other reasons, but reserves any
rights available to Claimant under law to pursue collection of the claim amount.
Notary:
On the ____ day of
____________, 20____, In the State of
______________,
County
of
______________, __________________,
Agent for Claimant, personally came and
appeared before me, and executed this
instrument in the agent’s stated capacity.
___________________________
Signed
this
____
_________________, 20____.
day
_______________________________
Agent for Claimant
Signed by: _______________________
Title: ___________________________
of