SECTION 255 AFFIDAVIT - Benchmark Title Agency LLC
SATISFACTION OF MECHANIC’S LIEN
This is to certify that a certain Mechanic's Lien, filed in the office of the County Clerk of the County of __________, State of New York, on the __________ day of __________, _____ in favor of claimant against the building and lot with the improvements thereon situated at __________, Section __________, Block __________ and Lot ________ for the sum of _________ ($_________) claimed against __________ as owner(s) is paid and is satisfied, and the undersigned dose hereby consent that the same be discharged of record.
Dated:
CLAIMANT:
__________________________________
[Signature of Claimant]
[Printed Name and Title]
STATE OF NEW YORK :
: ss.:
COUNTY OF __________ :
On the __________ day of __________ in the year 20___ before me, the undersigned, personally appeared __________, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument.
______________________________
Notary Public
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