Fill and Sign the Assignment Lien Form

Assignment of Lien by General Contractor This Assignment is made ____________________ (date) , by __________________________ (Name of Assignor) , doing business as a general contractor, with a principal place of business at ________________________________ ___________________________________________________ (street address, city, state, zip code) , hereinafter called Assignor , to _________________________ (Name of Assignee) , of ________________________________________________________ _____________________________ (street address, city, state, zip code) , hereinafter called Assignee . For and in consideration of $_____________, receipt of which is hereby acknowledged, Assignor does hereby assign to Assignee the mechanic's lien, described below and held pursuant to (citation of state statute) ________________________, together with all interest in and to the debt secured by the lien. The lien is against real property owned by ________________________ (Name of Owner) , of ____________ ______________________________________________________________________ (street address, city, state, zip code) , hereinafter called the Owner , which property (the Property ) is described in Exhibit A attached hereto and made a part hereof. The lien is for $_____________, the amount still owed to Assignor by Owner for labor and materials furnished for construction of a (description of building) _________ ______________________________________________________________________ _________________________________________________ on the Property, pursuant to a written contract between Assignor and Owner, dated __________________ (date) . A copy of the contract is attached hereto as Exhibit B and made a part of this Assignment. On ____________________ (date) , Assignor filed in the office of the ________________________________________ (name of recording official’s office, e.g., County Clerk ) of _______________ (name of county) , ______________ (name of state) , a verified Notice of Lien, which Notice was recorded in Book ______ at Page ________ (number) , of the Lien Records of the office of the _________________ __________________ (name of recording official’s office) of ________________ (name of county) County. A copy of the Notice of Lien is attached as Exhibit C and made a part of this Assignment. The intent of this instrument is to transfer to Assignee full power to collect the sum secured by the assigned lien. For that reason, Assignor constitutes and appoints Assignee the attorney in fact of Assignor, with authority to enforce the assigned lien and to collect and receive the debt secured by the lien the same as Assignor could have done had this instrument not been executed, but at the cost and expense of Assignee. Assignor has executed this Assignment at ______________________________ ____________________________________________________ (place of execution) the day and year first written above. _______________________ (Printed Name of Assignor) ________________________ (Signature of Assignor) (Acknowledgment form may vary by state) State of _____________________ County of ___________________ Personally appeared before me, the undersigned authority in and for the said County and State, on this ____________________ (date) , within my jurisdic tion, the within-named _____________________ (Name of Assignor) , who acknowledged that he executed the above and foregoing instrument. ________________________________ NOTARY PUBLIC My Commission Expires: ____________________