Release Of Lien 2

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_________________________