Lien Release Form
Lien Release Form
Please complete this Lien Release Form Template to officially release any legal claim or lien placed on a property or asset.
This Lien Release Form is made on this
Lienholder Information
Name
Address
Phone number
Debtor Information
Name
Address
Phone number
Property/Collateral Information
Description of Property/Collateral
Lien Details
Lien Date
Original Amount of Lien
Lien Reference Number
Filing Office
Release of Lien
The lienholder hereby acknowledges that the lien on the above-referenced property/collateral has been satisfied, and the lien is fully released as of this date.
Effective Date of Release:
Lienholder Signature
Date:
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