Partial Release of Lien
This Partial Release of Lien is made this ____ day of __________, 20__, by and between:
Creditor: ________________________________________ (Name of the lienholder)
Address: ________________________________________
__________________________________________________________
Debtor: ________________________________________ (Name of the property owner)
Address: ________________________________________
__________________________________________________________
This document serves as a partial release of the lien filed against the following property:
Property Address: ________________________________________
__________________________________________________________
In accordance with the laws of the state of __________ (insert applicable state, if state-specific), the undersigned creditor hereby releases a portion of the lien recorded in the County Clerk's Office under Document Number __________, dated __________.
This release is made with respect to the following described interest:
Description of the Interest: ________________________________________
__________________________________________________________
The remaining interest of the lien shall remain in full force and effect with respect to all other obligations as outlined in the original lien agreement.
By signing below, the undersigned parties affirm that they have the authority to execute this document.
Creditor Signature: ________________________ Date: ____________
Printed Name: _____________________________
Debtor Signature: ________________________ Date: ____________
Printed Name: _____________________________
Witnessed by:
Witness Signature: ________________________ Date: ____________
Printed Name: _____________________________
Notary Public:
State of __________
County of __________
Subscribed and sworn to before me on this ____ day of __________, 20__.
Notary Signature: ________________________ My Commission Expires: ____________