Fill and Sign the Agricultural Landlords Lien Notice Asl 5 Form

C. Name and Address of Person/Company Leasing Land If individual, last name firstCROPS GROWN AGRICULTURAL LANDLORD'S LIEN NOTICE ASL-5 NORTH DAKOTA SECRETARY OF STATE/REGISTERS OF DEEDS SFN 50469 (7-99)F.This form for county filing use only. ( SEAL )Notary Public My commission expires _________________ H. Dated this __ day of ________, ___.G. Contact PersonTelephone # Subscribed and sworn to before me this __ day of ___________, __. Type Name, Company and Title SignatureReserved for Filing Officer Use PLEASE TYPE. Please read instructions on back before completing. A. Filing Fee Instructions Check Enclosed OR Please Bill Customer Billing Number:B. File In: Statutory Agricultural Lien Notice OnlyD. Name and Address of Land OwnerTelephone Number: SSN/TIN: SSN/TIN: On _________, ______ Land owner leased the following land to lessee (insert legal description) and reserved title to the crops grown there. The lease was filed pursuant to North Dakota Century Code, Section 47-16-03 on _________, __NOTICE OF LANDLORD'S LIEN E. (Date)(Year) (Year) (Date) SFN 50469 (7-99) ASL-5 INSTRUCTIONSA. B. C. D. E. F. G. H.FILING FEE INSTRUCTIONS: Clients may request to be billed for services. Upon approval a customer number is provided. This number needs to be typed on the form for accurate billing processing. Without a customer number, all fees must be paid at the time of filing. FILE IN: Statutory Lien Notice Index only. NAME OF PERSON/COMPANY LEASING LAND: List the name of the person or company, complete mailing address, and social security number or tax identification number of the party renting. If an individual, enter last name, first name, and middle name. NAME OF LAND OWNER: List the name, mailing address, social security number or tax identification number and telephone number. NOTICE OF LANDLORD'S LIEN: Insert date of lease and date lease was filed. Insert the exact legal description of the property leased on which the crops are grown. CROPS GROWN: Describe crops grown on land. CONTACT PERSON: In order to facilitate the expediting of the filing, provide the name of the appropriate contact person with a telephone number. SIGNATURES AND NOTARIZATION: Have the person sign before a notary public. Type below the signature line the name of the individual, and if signing on behalf of a company, the individual's position with the company and the name of the company. 1. 2. 3. Verify for accuracy and correct spelling. File the original and one copy in the same county where the farm lease is filed. Be sure this form is properly signed and notarized. The following letters correspond to the lettered sections on the front of this form. THIS FORM IS TO BE USED TO FILE A NOTICE OF LANDLORD'S LIEN ON CROPS. FEES: 1. 2. 3.Filing Agricultural Lien Notice/Termination Non-Standard Filing/Termination Additional attachments per typed page$15.00 $20.00 $1.00