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In the District Court of ________________ County State of Oklahoma

_____________________________ vs. _____________________________

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Case No. ___________________

Affidavit of Cancellation of Lien
State of Oklahoma County of _____________________ } } }

SS

_____________________________________, of lawful age, first being duly sworn, deposes and says: 1. That your affiant is the owner of land situated in ____________________ County more particularly described as follows: _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ 2. That on the ______ day of _________________, 20_____, a lien was filed by ______________________ against ___________________________ on the above-described property. 3. That the lien numbered _________________ was filed with the County Clerk of _______________ County and is located in Book ___________, Page __________. 4. 5. 6. That no action to foreclose or adjudicate the lien has been instituted within one (1) year of filing the lien. That the lien is cancelled by limitation of law pursuant to 42 O.S. 1995 Supp. §177. That this affidavit shall be filed in the Office of the County Clerk of __________________ County and shall be attached to the original lien document and in the lien file and a notation of this affidavit shall be entered in the mechanics' lien journal.

Further, your affiant sayeth not. ___________________________________ Affiant and Land Owner Signed and sworn to before me this ________ day of _____________________, 20_____.

___________________________________ Notary Public My commission expires: ________________________________ AOC Form Revised 6/09