Fill and Sign the Ak Lis Pendens 497293966 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 LIS PENDENS – CORPORATION, LLC, etc. (A.S. § 34.35.080(c)) COMES NOW, __________________________________ , and hereby gives notice of the pendency of an action affecting the title to or the right of possession of real property pursuant to Alaska Statutes § 34.35.080(c) and § 09.45.940 and provides the following: 1. A civil action has been commenced in __________________________________ Court involving the parties as follows: ___________________________________ (Plaintiff) and _________________________________ (Defendant). 2. The object of this action or defense is as follows: ___________________________________ . 3. The real property affected by this action is located in ___________________________________ County, Alaska, and is legally described as follows: ___________________________________ . 4. From the time of recording of this Notice, a purchaser, holder of a contract or option to purchase, or encumbrance of the property affected has constructive notice of the pendency of the action and of its pendency against parties designated by their real names. This the ______ day of __________ , 20 ________ . __________________________________ Name of Company By: __________________________ ______ _ _____ Signature Title __________________________________ Type or Print Name Notice of Lis Pendens Page 1 of 3 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 Judicial District (or County) of or Municipality of The foregoing instrument was acknowledged before me this (date) by ________________________________ (name of officer or agent, title of officer or agent) of _______________________ (name of corporation acknowledging) a ___________________ (state or place of incorporation) corporation, on behalf of the corporation. ____________________________________ Signature of Person Taking Acknowledgment _________________________________ Title or Rank Serial Number, if any ___________________ My Commission Expires: __________________ 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 Notice of Lis Pendens Page 2 of 3 ( ) 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 § 34.35.080(c) Notice of Lis Pendens Page 3 of 3