When recorded, return to: ________________________________________________________

Escrow Company; c/o: Escrow Agent's Name

______________________________________________________________________________
Escrow Agent's Address | Escrow Agent's Email | Escrow Agent's Phone #

RELEASE OF AFFIDAVIT OF CONTRACT AND NOTICE OF INTEREST

BEFORE ME, the undersigned authority, on this day personally appeared

____________________________________________
Your Name, manager of Your LLC Name (“Buyer”), who being by me first duly
sworn upon his/her oath deposed and stated as follows:

To Whom It May Concern:

Your Name, manager of Your LLC Name

My name is ____________________________________________ (Buyer). I am over
the age of 21 and am of sound mind and am capable of making this release (“Release”) of the
Affidavit Of Contract and Notice of Interest (“Affidavit”) for the real property (“Property”)
described below. I have personal knowledge of the facts stated below, and every statement is true
and correct.

On this date, _________________________,

03/11/2022 I certify that the Affidavit filed by
Your Name, manager of Your LLC Name
____________________________________________ (Buyer) covering the Property located at:
______________________________________________________________________________
123 Main ST, Anywhere, USA 01234
(address), which Property is further described below;
______________________________________________________________________________
Legal Description - Line 1
______________________________________________________________________________
Legal Description - Line 2
______________________________________________________________________________
Legal Description - Line 3
____________________________________________________
Legal Description - Line 4 (“Property Legal Description”),
has been paid and said Affidavit is hereby released and discharged of record and the Clerk of the
Court is hereby authorized and directed to enter the satisfaction of said Affidavit on the Lien
Docket.

[ Signature Page Follows ]

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 This Release shall be effective once filed in the Public Records of
__________________________
County Name County, __________________________.
State Name

FURTHER AFFIANT SAYETH NOT:

_________________________________________
Your Name, manager (Buyer)

_________________________________________
of Your LLC Name (Buyer)

[ Notary Acknowledgement Pages To Follow ]

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 NOTARY ACKNOWLEDGEMENT - BUYER

STATE OF: ____________________________

State Name (Buyer) §
§
COUNTY OF: __________________________
County Name (Buyer) §

On this, the _____________

11th day of _____________________________,
March 20_______,
22
Your Name, manager
before me, the undersigned officer, personally appeared ________________________________
of Your LLC Name
________________________________ (name of “Buyer”), known to me (or satisfactorily
proven) to be the person whose name is subscribed to the above instrument, and he/she
acknowledged that he/she executed the same for the purposes therein contained.

__________________________________________
Notary Public’s Signature

My Commission Expires: _____________________

02/08/2022

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