Fill and Sign the Continuation Statement Corporation Form

Continuation Statement Page 1 of 2Prepared by, recording requested by and return to:Name: ___________________Company: ____________________Address: ______________________City: _____________________State: _____Zip: __________Phone: ___________________Fax: _____________________----------------------Above this Line for Official Use Only--------------------- CONTINUATION STATEMENT--CORPORATION (M.C.A.§ 71-3-531(6)(d)) COMES NOW, _______________________________, as representative of ___________________________________ a ________________________________ corporation which is entitled to claim a construction lien and is required to provide a Notice of a Right to Claim a Lien and would state as follows:1. On or about the _____ day of _____________ , 20______, the undersigned filed a Notice of Right to Claim a Lien.2.The clerk and recorder's file number of said Notice was ___________________________________.3.Said Notice was given to ________________________________, at the following address _____________________________________________________________________.4.Pursuant to Montana Code Annotated § 71-3-531(6)(c) the original Notice would expire one (1) year from the date of filing on the _____ day of _____________, 20______, and contingent upon the proper filing of this Continuation Statement, should be continued for one (1) year until the _____ day of _______________, 20______. This the _____ day of ______________ , 20______. ______________________________Signature ______________________________ Type or Print Name Attest: Secretary Continuation Statement Page 2 of 2STATE OF MONTANACOUNTY OF ___________________ This instrument was acknowledged before me on _______________ (date), by __________________________________ (name(s)) as type of authority, e.g., officer, trustee, etc.) of _________________________________ (party on whose behalf instrument was executed). ______________________________Notary PublicPrinted Name: _________________ (SEAL)Title (and Rank): _______________ Residing at:____________________ My Commission Expires: ________________MT § 71-3-531(6)(d)