Fill and Sign the Connecticut Lis 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 or LLC (Conn. Gen. Stat. § 49-39) COMES NOW, __________________________________ , as a party having filed a certificate of lien claiming a lien interest in the real property described as: ________________________________________________________________________ ____________________________________________________________________ , and provides notice of the following: 1. A civil action has been commenced in ___________________ Court involving the parties as follows: __________________________________ (Plaintiff) and ___________________________________ (Defendant). The term, session or return day thereof is: _____________________________________ , and the date of the process is _____ day of ________________ , 20 _____ . 2. The nature and object of this action is as follows: _______________________________________________________________________ . 3. The real property affected by this action is located in _________________ County, Connecticut, and is legally described as follows: ________________________________________________________________________ _______________________________________________________________________ . 4. The undersigned hereby records this Notice on the land records of the town in which the lien is recorded within one (1) year from the date the lien was recorded or within sixty (60) days of any final disposition of an appeal taken in accordance with Conn. Gen. Stat. § 49-35(c), whichever is later. 5. The undersigned not later than thirty (30) days after such recording, will serve a true and attested copy of the recorded N otice upon the owner of record of the property affected thereby. Notice of Lis Pendens Page 1 of 3 6. Finally, the undersigned will record the certified copy of the recorded Notice that contains the endorsed return of service with the clerk of the court in which the action is brought to be included in the record. 7. This Notice shall, from the time of the recording only, be notice to any person thereafter acquiring any interest in such property of the pendency of the action; and each person whose conveyance or encumbrance is subsequently executed or subsequently recorded or whose interest is thereafter obtained, by descent or otherwise, shall be deemed to be a subsequent purchaser or encumbrancer, and shall be bound by all proceedings taken after the recording of such notice, to the same extent as if he were made a party to the action. This the _____ day of ___________________ , 20 _____ . _________________________________ Name of Company By: __________________________ ______ _ _____ Signature Title _________________________________ Type or Print Name Attest: Secretary State of Connecticut County of ________________________ On this the ______________ day of ______________, ______________, before me, a Notary Public, personally appeared __________________________________________ (Name of Officer) who acknowledged himself/herself to be the ________________________ (Title of Officer) of ____________________________ (Name of Corporation or LLC), and that he/she, as such ____________________________ (Title of Officer), being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself/herself as ____________________________ (Title of Officer). In witness whereof I hereunto set my hand. Date:___________________________ Notice of Lis Pendens Page 2 of 3 ______________________________ Notary Public Print Name: ___________________ My Commission Expires: _____________________ Certificate of Delivery I, _____________________________________, hereby certify that I have delivered this day a true and attested copy of the foregoing to ___________________________________ by: ( ) Mailing a true and attested copy of same by registered or certified U.S. mail, postage prepaid, return receipt requested at his/her place of residence. ( ) Personal service at his/her usual place of abode. ( ) If the copy is returned unclaimed, by publication in accordance with the provisions of Conn. Gen. Stat. § 1-2. ( ) If the property owner is a nonresident individual or foreign partnership, or the executor or administrator of the nonresident individual or foreign partnership, upon the Secretary of the State as provided in subsection (c) of Conn. Gen. Stat. § 52-59b. ( ) If the property owner is a foreign corporation, as provided in Conn. Gen. Stat. § 33-519 or § 33-929 . ________________________ Signature Notice of Lis Pendens Page 3 of 3