Company Letterhead
{{company_name}}
{{company_address}}
Phone: {{phone}}
Email: {{email}}
Website: {{website}}
Release of Lien
Date: {{date}}
To Whom It May Concern,
Lien Holder Information
I/We, {{lien_holder_name}}, residing at/with principal place of business at {{lien_holder_address}}, duly authorised representative of {{lien_holder_company_name}} (the 'Lien Holder'), do hereby acknowledge receipt of full and final payment for all obligations secured by the lien described herein.
Debtor Information
This release of lien is granted to {{debtor_name}}, residing at/with principal place of business at {{debtor_address}} (the 'Debtor').
Lien Details
A lien was placed upon the following described property/asset:
{{asset_description}}
The lien was registered on {{lien_registration_date}} with {{registration_authority}} under reference number {{lien_reference_number}} for the amount of {{currency}} {{original_lien_amount}}.
Declaration of Release
The Lien Holder hereby declares that any and all liens, claims, and encumbrances arising from or related to the aforementioned debt and property/asset are fully and completely released, discharged, and satisfied. The Lien Holder waives any further rights or interests in the described property/asset that were previously held by virtue of the said lien.
Indemnification
The Lien Holder further agrees to indemnify and hold harmless the Debtor from any and all claims, demands, losses, liabilities, costs, and expenses (including reasonable attorney's fees) arising out of or in connection with the existence or enforcement of the lien prior to the effective date of this release.
Governing Law
This Release of Lien shall be governed by and construed in accordance with the laws of {{country}}.
Effectiveness
This release shall be effective on the date first written above, upon the full and final clearance of all outstanding amounts by the Debtor.
Signature Block
Signed this {{day}} day of {{month}}, {{year}}.
_____________________________
Signature of Lien Holder/Authorised Representative
Printed Name: {{lien_holder_signer_name}}
Title: {{lien_holder_signer_title}}
For: {{lien_holder_company_name}}
Witnessed by:
_____________________________
Signature of Witness
Printed Name: {{witness_name}}
ID Number: {{witness_id_number}}
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