AFFIDAVIT OF PAYMENT AND RELEASE OF LIENS
To All Whom It May Concern, To The Following I Do Solemnly Swear And Affirm:
WHEREAS, the undersigned has been employed by (A) __________________________________________________
to furnish labor and materials for (B) __________________________________________________________________
work, under a contract (C) __________________________________________________________________________
for improvement of the premises described as (D) _______________________________________________________
in the (E) __________________________________ County of _________________________, State of New Mexico of
which ______________________________________________________________________________ is the Owner.
NOW, THEREFORE, this __________________ day of _______________________, 20______ , for and in
consideration of the sum of (F) $______________________ Dollars paid simultaneously herewith, the receipt whereof is hereby
acknowledged by the undersigned, the undersigned does hereby waive and release any lien rights to, or claim of lien with respect
to and on said above described premises, and the improvements thereon, and on the monies or other considerations due or to
become due from the Owner, on account of labor, services, materials, fixtures, apparatus or machinery heretofore or which may
hereafter be furnished by the undersigned to or for the above described premises by virtue of said contract.
The undersigned, as Contractor for the above named Contract pursuant to the Conditions of the Contract hereby certifies that,
except as listed below, he/she has paid in full or has otherwise satisfied all obligations for all materials and equipment furnished,
for all work, labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising
in any manner in connection with the performance of the Contract referenced above for which the Owner or his/her property might
in any way be held responsible.