§ 29-10-106 — Form for notice of satisfaction of lien

(a) The form for notice of satisfaction of a lien shall be
filed with the county clerk's office in the county where the
property against which the lien was filed is located, sent to
the record owner and shall be completed in substantially the
following form:
Note to lien claimant: This form, if filled out correctly and
filed with the county clerk's office within the time period
specified in W.S. 29-1-314 constitutes prima facie evidence that
you have fulfilled your obligation to file a notice of
satisfaction of the lien required by W.S. 29-1-313 and 29-1-314.
If you have any questions regarding how to fill out this form or
whether it has been filled out properly, you should consult an
attorney.
STATE OF _____________ )
) ss.
COUNTY OF _____________ )
NOTICE OF SATISFACTION OF LIEN
Pursuant to the provisions of W.S. 29-1-313, the undersigned
hereby files its notice of satisfaction of lien statement and
hereby releases its lien(s), filed with the Clerk of
__________________ County on the ______ day of ______________,
20___, commencing at Page ______ of Book _______.
Dated this ______ day of ______________, 20___.
Name of lien claimant: ______________________________
By: ____________________________________
Signature: ______________________________
Title: _______________________________
Note to Notarial Officer: If the lien claimant is a legal
entity formed under Title 17 of the Wyoming Statutes or other
applicable law, use the first jurat. If the lien claimant is an
individual or sole proprietor, use the second jurat.
(Alternative 1:)
STATE OF __________________ )
) ss.
COUNTY OF __________________ )
On this _____ day of ______________, 20___, subscribed and sworn
to before me personally appeared ______________________________
(name of signatory), to me personally known, who has read the
foregoing Notice of Satisfaction of Lien and knows the contents
thereof and the facts are true to the best of his/her knowledge,
and being by me duly sworn, did state that he/she is the
______________________________ (title, position or type of
authority granted by lien claimant) of
______________________________ (lien claimant) and that this
Notice of Satisfaction of Lien was signed and sealed on behalf
of the lien claimant by authority granted to the signatory by
the lien claimant.
Witness my hand and official seal.
______________________________
Notarial officer
My Commission Expires:
Seal:
(Alternative 2:)
STATE OF __________________ )
) ss.
COUNTY OF __________________ )
On this _____ day of ______________, 20___, subscribed and sworn
to before me personally appeared ______________________________
(name of signatory), to me personally known, who has read the
foregoing Notice of Satisfaction of Lien and knows the contents
thereof and the facts are true to the best of his/her knowledge,
and being by me duly sworn, did state that the Notice of
Satisfaction of Lien to be the free act and deed of the lien
claimant.
Witness my hand and official seal.
______________________________
Notarial officer
My Commission Expires:
Seal: