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Home My WebLink About06-3289 , . fL. 0(1' 3.)&''1 IVI/...LJ RELEASE OF LIENS Instructions This instrument will not be satisfactory or acceptable unless ALL of the signature blanks in Part I are filled in by signatures of proper parties or iCoo such material or labor has been furnished, such fact is shown by the word "none" inserted in the blank. When materials furnished by the general contractor pursuant to his contract with the owner were obtained from sources other than his own stock or manufacture of such materials, the persons, firms or corporations from which the materials were obtained, rather than the general contractor, must sign for such materials. In the middle aCthe third line in Part I the name of the owner of the property should be inserted. In the space after the third line in Part I a description of the property should be inserted, care being taken to identify the property with the record description. Please be certain that this part of the release is completed before same is executed by any party. The signatures to the release should be in accordance with the following: Unless the party signing be an individual, it should be stated whether a partnership or corporation. Ifa partnership, on of the partners must sign the name of the firm by him and show after is signature on behalfofthe firm the fact that he is a partner. Ifacorporation, then the name of the corporation must be written and signed by an execute officer, the official title of such officer being placed after his signature and the corporate seal affixed. A signature by one individual on behalf of another individual will not be accepted unless the release is accompanied by power of attorney showing the authority of such individual to sign on behalf of the other individual. If an individual is doing business under a trade name and executes the release in such trade name, he should affix his signature after such trade name and show that he is the owner. Unless the signatures are taken in the presence of the local attorney, he should be sure to verity their genuineness. Where a subcontractor or materialman has been fully paid and no release is to be taken, his name should be typewritten in Part I and receipt showing payment in full should accompany the release. The affidavit, Part II, should be executed by the general contractor, if any. The affidavit, Part III, should be executed by the owner. If the owner is also the general contractor, the affidavit, Part III, should be executed by him. Part I - Release of Liens un<\eHljl~n:sll<lllllVlRi..A.t.r.e..below, l ~s~rh,~d As 1or'i'cMs~\ Intending to be legally bound hereby and in order to procure the making of one or more loans on said real estate, or sales of said real estate, do hereby waive, release and quit-claim in favor of each and every party making a loan on or purchasing said real estate, as improved, and his or its successors and assigns, all right that we, or any of us, may now or hereafter have to a lien upon the land and improvements above described. by virtue of the laws of the state wherein said land is situate, or any amendments of said laws; and we do further warrant that we have not and will not assign our claims for payment or our right to perfect a lien against said property, and that we have the right to execute this waiver and release thereof ALL of the subscribers to this instrument respectively warrant that all laborers employed by them upon the aforesaid premises have been fully paid and that none of such laborers have any claim, demand, or lien against said premises; and further, that no chattel mortgage, conditional bill of sale or retention of title agreement has been given or executed by the said owner or any general contractor or other party of any of us, for or in connection with any material, appliances, machinery, fixtures, or furnishings placed upon or installed in the aforesaid premises by any of us other than: It is understood and agreed that any and all signature hereto are for all services rendered, or yet to be rendered, work done or yet to be done, and material furnished or yet to be furnished by the signers in any and all capacities, and are not 7derstood to be only for e particular item against which the signature is affixed. Witness the following signatures and seals this day of. ~ (seal) (seal) A;:.s;.hi!ect , 1/ ~..I""'''''( ;- /T """"- ~ - . / nera! Coni,acto, H O!;~H-ef c...c. +0'" V ny ~n"'l . II~..I.~<" Brick Paint (seal) :B~Ielt.rs (seal) (seal) Painting (seal) Plaster Materials (seal) (seal) Bricklaying Plastering (seal) (seal) Carpentry Plumbing Fixtures (seal) (seal) Cinder or Concrete Blocks Plumbing (seal) (seal) Concrete Work Ready Mixed Cement or Concrete Electric Fixture (seal) (seal) Refrigeration Electric Wiri (seal) (seal) t.../0 ,.~ (seal) Excavation teph en \.... W; 5e r- Co ,,"'* O~"".....e+ ~("'\J<tti "d-- Roofing Materials (seal) Roofing Work FORM 26/39AF-RL (12/92) Reprinted (5/97) Affidavit - RELEASE OF LIENS Pennsylvania , . (seal) (seal) Flooring Sand and Gravel (seal) (seal) Floor Scraping Screens (seal) (seal) Glass Shades (seal) (seal) Glass Work Sheet Metal Work (seal) (seal) Gutters and Downspouts Stone (seal) (seal) Hardware Stone Work (seal) (seal) Heating Equipment Stucco (seal) (seal) Iron and Steel Tile and Marble (seal) (seal) Landscaping Wall Paper (seal) (seal) Lime and Cement Wall Papering (seal) (seal) Linoleum Weather Strips (seal) (seal) Lumber Well (seal) (seal) Material for Insulation Against Weather Conditions (seal) (seal) Millwork (seal) (seal) Oil Burner THIS RELEASE WILL NOT BE ACCEPTED UNLESS THESE AFFIDAVITS ARE EXECUTED. ()A Part !{ - Affidavit ~ y: STATE OF r W"'/,\d of LJ 1 NV\'o~lnIlr1 I, I . having been first duly sworn, do now depose and say: That the persons, finns, and corporations who have executed the release of liens above are all of the persons, finns, and corporations who have furnished services, labor, or materials in the construction or repair of improvements on the real estate described in said release and that, as of the date of this affidavit, suc ork has been fully completed and accepted by the owner of said real estate. f"-'- .~- General Contractor, ifany -::ro~ E. D~:t:t.e.:r ~ Su scribed and sworn to before the undersigned, a Notary Public for the C Oi State of PA , in said , this ~ ayof of RIAL SEAL ~mmert, Notary Public Borough of Carlisle, Cumberland Co., PA ssion Expires Aug. 11, 2007 STA OF I, ~ ow depose and say: That the perso firms and corporations who have execu d the release of hens above include all of the persons, firms and corporations with whom or t with which I have contracted for services, labor, or materials in the construction or repair of improvements on the real estate described in said release; that, as of the date of this affidavit such work has been fully completed and llccepted by me: that the general contractor, if any, and all other part"es with whom I have contracted have been paid in full; that, at the time of paying said parties in full, I had no notice of any claim of any su tractor, labore or m d that I do not now have notice of any claim of any su r, laborer or materialman. ---' Owner Owner NOTE: Iftitle is vested in two or A IAL SEAL Kathy L. Mummert, Notary Public Borough of Carlisle, Cumberland Co., PA Not ry Public My Commission Expires Aug. 11, 2007 e persons, each such person should execute the affidavit at Part III above. :);w ~q ~ , this of Subscribed a~ t}orn to before the undersigned, a Notary Public for the ~ State of e"M hfA ~.A CznJ. in said IUNl ,~ FORM 26/39AF-RL (12192) Reprinted (5/97) Affidavit - RELEASE OF LIENS Pennsylvania r ~ ~ lQ }.> - -:. ...r.> "'- .... "'V <a 'E. 't' <;-- \ . ~ r' ...., ;g if" (,-:::;: c_~ :;1:' I ...0 ) --0 ::;.: o .....1"'1: .-l :!:-n rrt r=: -a;1't :U,? , --~;G' __~:d "~CJ ,-,,:-rTi ::, 'J.''' :il r:'! - N