SATISFACTION OF LIEN

WHEREAS, the undersigned, , having filed a Claim of Lien against the property of on the day of ,	, in Official Records Book at Page of the Public Records of County, Florida against the real property described as:

in the amount of Dollars and No/100 ($ ).

NOW, THEREFORE, the undersigned, for Ten Dollars ($10.00) and other good and valuable consideration, does hereby acknowledge release of the claim of lien and does direct the Clerk of Court to cancel and discharge the claim of lien in accordance with Section 713.21 of the Florida Statutes.

By:

Print name:

STATE OF

COUNTY OF

The foregoing instrument was acknowledged before me this day of ,
, by (name), as (title) of (name of corporation), a (State) corporation, on behalf of the corporation. He/She [please check as applicable] /______/ is personally known to me, or has produced /______/ his/her (state) driver's license, or /______/ his/her (type of identification) as identification.

(Signature)

(Printed Name)

NOTARY PUBLIC, STATE OF

(Commission Expiration Date)