Fill and Sign the Alaska Notice Intent Form

NOTICE OF INTENT TO FILE NOTICE OF COMPLETION By CORPORATION, LLC, etcc. (A.S. § 34.35.071(a)(2)) COMES NOW, __________________________________ , as the owner of the real property undergoing improvements at ___________________________________ , and that may be subject to a lien, at least five days before the recording of the notice of completion to all claimants who have given a notice of right to lien or a stop-lending notice to the owner and the lender prior to 10 days before recording a notice of completion, 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 legal description of the property is _____________________________________ . 5. The general contractor on the project was ____________________________________ . 6. Attached to this Notice is a copy of the Notice of Completion. The notice of completion will be recorded not earlier than five days after the date of this notice. This the _____ day of _________ , 20 _____ . ____________________________________ Name of Company By: __________________________ ______ _ _____ Signature Title ____________________________________ Type or Print Name Notice of Intent to File Notice of Completion Page 1 of 3 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 com[any acknowledging) a _____________________________ (state or place of incorporation) company, on behalf of the said company. ______________________________________ Signature of Person Taking Acknowledgment ________________________ Title or Rank Serial Number, if any __________________________ My Commission Expires: __________________ Notice of Intent to File 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(a)(2) Notice of Intent to File Notice of Completion Page 3 of 3