Lien Release Form

A lien release form is used to withdraw a lien existing on a property title held by another person. Commonly the lien release form is used to get possession of ones property both movable and immovable. A lien release form restores the ownership of the property to its true owner from the mortgaged party.

Sample lien release form

Name of the property owner                                             ___________________

Complete address of the property owner                          ____________________

Contact number of the property owner                            ____________________

Name of the lien holder                                                   ____________________

Complete address of the lien holder                                ____________________

Contact number of the lien holder                                  ____________________

Description of kind of property

Movable property                                                             ____________________

Immovable property                                                         ____________________

Registration details of property                                       ____________________

Year of ownership of property                                         ____________________

Reason for release of lien                                                 ____________________

Date of actual release of lien                                           ___________________

Amount paid for lien release                                            ____________________

Declaration of voluntary assignment                                ___________________

Clearance certificate of all previous dues                         ____________________

Signature of lien holder                                                     ___________________

Submission Date                                                                ___________________

Place                                                                                   ___________________

Submitted to authority name                                              ___________________

If lien release accepted or not                                             ___________________

Lien release effective date                                                 __________________

Notarization of lien release form                                       __________________

Country                                                                              __________________

Signature of notary public                                                 __________________

Validity period of notary with seal                                  ___________________

Official seal of authorized person to whom release

Has been submitted                                                           ___________________

Category: Release Forms