Certificate Of Deposit For Release Of Real Property From Mecahnics Lien {GN-165}

IN THE _______ JUDICIAL CIRCUIT COURT, ____________________________, MISSOURI Division: Lien Claimant: Case Number: Claimant's Address: City, State, Zip: Telephone Number: vs. Owner/Lessee/Licensee: Owner/Lessee/Licensee's Address: City, State, Zip: Telephone Number: Interested Party: Interested Party's Address: City, State, Zip: Property Interest: Telephone Number: (Date File Stamp) Lien Amount: Lien Number: Substitute Collateral: Certificate of Deposit for Release of Residential Real Property from Mechanic's Lien On ____________________ (date), a mechanic's lien was filed with this court pursuant to Section 429.080, RSMo. On ____________________ (date), the above interested party deposited with this court: money in the amount of $_______________________ a letter of credit in the amount of $_______________________ from: name and address of the bank: _____________________________________________________________________ service address for the bank: ______________________________________________________________________ a bond in the amount of $_______________________ from: name and address of the surety company: ____________________________________________________________ service address for the surety company: _____________________________________________________________ as substitute collateral to release the residential real property from the mechanic's lien pursuant to Section 429.016, RSMo. Legal description of the property against which the mechanic's lien was filed: (Attach additional pages, if necessary.) Certificate of Filing I, __________________________________________, Clerk of the ___________________________ Court, Division __________ of ___________________________________ County/City of St. Louis, hereby certify the certificate of deposit was filed in my office on ____________________________ (date). WITNESS my hand and the seal of the court affixed hereto on ______________________________________. (Seal of the Court) _____________________________________________ Clerk Certificate of Service I, the undersigned, certify that I have mailed a copy on _____________________ (date), of the foregoing and a copy of any letter of credit or bond, if any, to the claimant at the following address: _______________________________________________________ _________________________________________________________________________________________________________ _____________________________________________ Interested Party OSCA (7-10) GN165 1 of 1 www.FormsWorkflow.com 429.016, RSMo