CERTIFICATE OF RELEASE OF MECHANIC’S LIEN ....................................................................................................................................... VA. CODE §§ 43-4, 43-5, 43-8, 43-10, 43-67 Virginia Circuit Court is the location of the following record referenced by this certificate: ..................................................... ..................................................... .......................................... ........................................................... DATE LIEN RECORDED DEED BOOK NO. PAGE NO. INSTRUMENT NUMBER or ..................................................................................................................... ..................................................................................................................... TAX MAP REFERENCE NUMBER PARCEL IDENTIFICATION NUMBER ............................................................................................................................................................................................................................................................. NAME(S)/ADDRESS(ES) OF OWNER(S) ON WHOSE PROPERTY THE LIEN WAS PLACED ............................................................................................................................................................................................................................................................. $ ...................................................................................... amount claimed. The above-mentioned mechanic’s lien is hereby released. (If lien is released with respect to only part of the property or with respect to an amount smaller than the total claimed, indicate conditions:) ............................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................. _______________________________________________________________________ CLAIMANT(S) _______________________________________________________________________ by [ ] City [ ] County of ___________________________________________________________________ [ ] ATTORNEY AT LAW [ ] AGENT [ ] ATTORNEY IN FACT ....................................................................... State/Commonwealth of This instrument was acknowledged, subscribed and sworn to before me this , 20 ................................................................... .................... day of ...................................................................................................... by ...................................................................................................................................................................................................................................................... ................................. NAME TITLE ..................................................................................................................... ______________________________________________________________ PRINTED NAME OF NOTARY PUBLIC SIGNATURE OF NOTARY PUBLIC (My commission expires Registration No. .......................................................................... ) ........................................................................................... This instrument was admitted to record on ........................................................................................................ at ......................................... m. DATE ____________________________________________________ , Clerk by ________________________________________ TIME , Deputy Clerk FORM CC-1515 MASTER 05/08 American LegalNet, Inc. www.FormsWorkflow.com