Fill and Sign the Continuing Corporation Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: ______________________ Company: _____________________ Address: ______________________ City: ___________________ State: _____ Zip: ___________ Phone: ___________________ Fax: _____________________ AFFIDAVIT OF CONTINUING IMPROVEMENTS- CORPORATION or LLC (Colorado Revised Statute §38-22-109(8)) Comes now, _________________________________ , whose address is _______________________________________________________________________ , and after being duly sworn hereby states that: 1. On or about the _____ of ________________ , 20 _____ , the undersigned affiant filed a lien statement regarding the property located at ___________________________________________________________ . 2. That this affidavit is filed within thirty days of the annual anniversary of said lien filing, and 3. Those improvements on said property have not yet been completed, such that the lien filed on _____ of ________________ , 20 _____ , should remain in full force and effect for the additional term of one year from the date of this filing, or until satisfied. This the _____ day of _______________ , 20 _____ . ____________________________________ Company Name ____________________________________ Signature of Affiant Affidavit of Continuing Improvements Page 1 of 2 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: _____________________ Affidavit of Continuing Improvements Page 2 of 2