Fill and Sign the Ak Corporation Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: ____________________ Company: ____________________ Address: _____________________ City: __________________ State: ______ Zip: __________ Phone: ______________ Fax: ________________ NOTICE OF COMPLETION—CORPORATION, LLC, etc. (A.S. § 34.35.071) COMES NOW, ___________________________________ , as a representative of _________________________________ a ____________________________________ company which owns the real property undergoing improvements located at and described as ____________________________________________________________________________ , and would hereby provide Notice of the following: 1. The improvements on the above-described property were completed on or about the ____ day of ____________ , 20 _____ . 2. The above-described property is owned by ____________________________________ , of the following address: _____________________________________ . 3. The nature of the interest or estate of the Owner is described as ____________________________________ . 4. The general contractor on the project was ___________________________________ . NOTICE: The filing of a Notice of Completion affects the time within which a party who has supplied labor, services, material, or machinery may file a Claim of Lien. This the ____ day of ________________ , 20 ________ . ______________________________ Name of Company Notice of Completion Page 1 of 3 By: __________________________ ______ _ _____ Signature Title ______________________________ Type or Print Name Attest: Secretary State of Alaska _______________________ Judicial District _______________________ Claimant I, ______________________________ , being first duly sworn, on oath say that I am ______________________________ named in the foregoing claim; that I have heard the claim read, know the contents of it, and believe it is true. _________________________ Signature ______________________________ Print or Type Name State of Alaska _________________________ Judicial District (or County of _________________________ ) The foregoing instrument was acknowledged before me this _____________________ day of ______________, 20___, by ______________________________ (signing party), the ____________________________ (title) of ______________________________ (name of company) a ______________________________ (state of incorporation) corporation, on behalf of said corporation. ________________________________ Notary Public Print Name _______________________ Serial Number, if any: _______________ My commission expires: Notice of Completion Page 2 of 3 Certificate of Delivery I, _____________________________________, hereby certify that I have delivered this day a true and correct copy of the foregoing to ___________________________________ by: ( ) Personal Service with signed receipt ( ) Mailing a true and correct copy of same by first-class U.S. mail, postage prepaid, return signed receipt requested to ___________________________, So certified this the ______ day of ___________________, 20____. ________________________ Signature AK § 34.35.071 Notice of Completion Page 3 of 3