RELEASE OF LIEN


KNOW ALL MEN BY THESE PRESENTS:

That the undersigned, for and in consideration of the
payment of the sum of _____________________________ DOLLARS
($      ), paid by ____________________________, receipt of
which is hereby acknowledged, hereby releases and quitclaims
to the said ________________________, its successors and
assigns, and to _____________________ the owner, all liens,
lien rights, claims or demands of any kind whatsoever, which
the undersigned now has or might have against the building
on premises legally described as [legal description]

on account of labor performed and/or material furnished for
the construction of any improvements thereon.  That all
labor and materials used by the undersigned in the erection
of said improvements have been fully paid for.

Date_____________                   _______________________
                                          [Signature]

 IN WITNESS WHEREOF,  I have hereunto set my hand seal this _____
day of ____________________,_______________

WITNESSES                               ________________(SEAL)
__________________________

__________________________            BY_________________________

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