The following is a sample of what I have used. You may want to review it carefully to see that it meets your needs. Good luck. Also please note that the current 2014 law requires a Notice of Claim, not a lien.

DISCHARGE OF MORTGAGE

FOR

ROAD FEE COLLECTOR’S CLAIM CERTIFICATE

Title 23, M.R.S.A. §3101 to §3106

KNOW ALL PERSONS BY THESE PRESENTS

That I, ________________ of _______, Maine, in my capacity as Road Commissioner of the ________________ Road Association, do hereby acknowledge that on the __th day of ______, 20__, I have in my said capacity received full payment and satisfaction of the mortgage created, in accordance with the provisions of Title 23, M.R.S.A., §3101 to §3106, as amended, by the recording of a lien certificate on _____ __, 20__ in the Registry of Deeds for the County of __________ (certificate recorded in said registry in Book _____at Page ___)and the debt

thereby secured, and in consideration thereof I do, in my said capacity, hereby cancel and discharge said mortgage, and release unto said _________________ of ________, __, its heirs and assigns forever the premises therein described.

In witness whereof, I, said _____________ in my said capacity of Road Commissioner of the _______________ Road Association, have hereunto set my hand and seal this _____day of _______, 20__.

________________________________

_______________, Road Commissioner

________________ Road Association ______________________________

______________, Maine ________

STATE OF MAINE

______________, ss. __________ ____, 20__

Personally appeared the above named ___________, Road Commissioner of ___________ Road Association and acknowledged the foregoing instrument to be his free act and deed in his said capacity and the free act and deed of said association.

Before me, _____________________________

Notary Public