Fill and Sign the 4901602 Inspection of Records by Shareholders 1 a Form

Written Notice and Demand for Payment of Account Page 1 of 2 WRITTEN NOTICE AND DEMAND FOR PAYMENT OF ACCOUNT - CORPORATION (N.D.S. § 35-27-11) COMES NOW, ________________________________, as a representative of _________________________________ a _________________________________ corporation who has provided labor, materials, or services for the improvement of real property located at and described as ________________________________________________________________________________________________________________________________________________ _______________________________________________________________________, and hereby requests that ________________________________, the owner of the real property subject to the improvements, pay the outstanding amount due on the undersigned’s account in the amount of _______________. If payment is not made within fifteen (15) days of the date of mailing this Notice, the undersigned will perfect the mechanic’s lien against the building, improvement or premises according to law. Dated _______________________ __________________________________Signature__________________________________ Type or Print Name __________________________________Title__________________________________CorporationSTATE OF NORTH DAKOTACOUNTY OF ___________________The foregoing instrument was acknowledged before me this _____ day of _____________, 20______ by _________________________________ (name of officer or agent and title of officer or agent) of __________________________________ (name of corporation acknowledging), a ___________________________________ (state or place of incorporation) corporation, on behalf of the corporation. _____________________________Notary Public Printed Name: _________________ My Commission Expires: ______________ Written Notice and Demand for Payment of Account Page 2 of 2 Certificate of Delivery I, __________________________________, hereby certify that I have delivered this day a true and correct copy of the foregoing to ___________________________________ by mailing a true and correct copy of same by certified or registered U.S. mail, postage prepaid, return receipt requested. So certified this the _____ day of _______________, 20______. ________________________Signature