Fill and Sign the Affidavit of Continuing Improvements Individual Colorado Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: ______________________ Company: ____________________ Address: ____________________ City: ______________________ State: _____ Zip: __________ Phone: ________________________ Fax: _______________________ AFFIDAVIT OF CONTINUING IMPROVEMENTS - INDIVIDUAL (Colorado Revised Statute §38-22-109(8)) Comes now, ____________________________________ , whose address is ______________________________________________________________________ , and after being duly sworn hereby states that: 1. On or about the _____ of _______________________ , 20 _____ , the undersigned affiant filed a lien statement regarding the property located at __________________________________________________________ . 2. That this affidavit is filed within thirty days of the annual anniversary of said lien filing, and 3. Those improvements on said property have not yet been completed, such that the lien filed on _____ of ____________________ , 20 _____ , should remain in full force and effect for the additional term of one year from the date of this filing, or until satisfied. This the _____ day of _________________ , 20 _____ . _______________________________________ Signature of Affiant _____ ___________________________________ Print Name of Affiant Affidavit of Continuing Improvements Page 1 of 2 STATE OF COLORADO COUNTY OF _____________________ The foregoing instrument was acknowledged before me this _____________________ (date) by _________________________________________ (name of person acknowledged.) ______________________________ Notary Public Printed Name: _________________ My Commission Expires: _____________________ Affidavit of Continuing Improvements Page 2 of 2