Fill and Sign the Colorado Llc Company 497299759 Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: _____________________ Company: _____________________ Address: ______________________ City: ________________________ State: _____ Zip: ______ Phone: ________________________ Fax: ________________________ MEMORANDUM OF CONTRACT—CORPORATION or LLC (Colorado Revised Statute §38-22-101(3)) State of Colorado County of ______________________ BE IT KNOW THAT __________________________________ , "Owner(s)", by and through its __________________________________ (officer position) whose address is _______________________________________________________________________ , files this Notice pursuant to Colorado Revised Statutes, Section 38-22-101(3) and would state in support thereof the following: 1. Notice is hereby given that Owner(s) has entered into a contract with the following parties (contractor): ______________________________________________ . for the purpose of commencing work on the following property: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ _________________________________________________________ . [A description sufficient for identification of the real property to be improved. The description should include the legal description of the property and also should include the street address of the property if available or, if there is no street address available, such additional information as will describe the physical location of the real property to be improved.] 2. A general description of the improvements to be made are: Memorandum of Contract Page 1 of 2 __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 3. The parties to the above-mentioned contract estimate the total amount to be paid under said contract to be $ ____________________ . 4. Pursuant to the contract between the parties payments will be made on the following dates or stages of completion of work: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ _________________________________________________________ . 5. A copy of the contract ( ) is ( ) is not attached to this Notice. THIS the _____ day of ___________________ , 20 _____ . ___________________________________ Company Name ____________________________________ Signature Print Name: _____ ____________________ Title: _____ _________________________ Attest: Secretary STATE OF COLORADO COUNTY OF _____________________ The foregoing instrument was acknowledged before me this _____ day of __________, 20____ by ___________________________(name of officer or agent, title of officer or agent) of ___________________________(name of company acknowledging) a __________________ (state or place of incorporation) business entity, on behalf of the company. ______________________________ Notary Public Printed Name: _________________ My Commission Expires: _____________________ Memorandum of Contract Page 2 of 2