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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. ....................................................................................................................................................................................................... NAME(S)/ADDRESS(ES) OF OWNER(S) ON WHOSE PROPERTY THE LIEN WAS PLACED ....................................................................................................................................................................................................... $ ......................................................................................amount claimed Brief description of property on which lien was placed:................................................................................................................ ....................................................................................................................................................................................................... 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 _______________________________________________ ATTORNEY AT LAW ............................................................................................................................ Virginia: CITY/COUNTY AGENT ATTORNEY IN FACT Acknowledged, subscribed and sworn to before me on ................................................................................................................. DATE by ................................................................................................................................................................................................... NAME, TITLE, ETC. MY COMMISSION EXPIRES........................................... _____________________________________ Notary Public This instrument was admitted to record on ................................................................ at ............................................................... DATE TIME _________________________________, Clerk by __________________________________________ , Deputy Clerk FORM CC-1515 (w) MASTER PC 11/96 2001 � American LegalNet, Inc.
