Fill and Sign the Corporation Limited Liability Form

Prepared by:       After Recording, Return to:       (Full Name of Party)       (Company, if applicable)       (Street Address)       (City, State and Zip Code) NOTICE OF LIEN CLAIMED BY PERSONS OTHER THAN THE ORIGINAL CONTRACTOR – CORPORATION, LLC, ETC. (Ala. Code. § 35-11-218) COMES NOW ,       , as a representative of (Name of Party Executing Notice)       a       (Name of Corporation, LLC, Partnership, etc.) (State of Formation/Organization)       , not the original contractor, which has performed (Corporation, LLC, Partnership, etc.) labor or furnished material for the improvement of the property described as : See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description:       and would hereby provide notice of the following: 1. The undersigned provided the following labor and that/or materials for the above described property: See Invoices/Statements Attached as Exhibit B incorporated by reference as though set forth in full Itemize labor and/or materials furnished:       Notice of Lien Claimed by Persons Other Page 1 of 3 Than the Original Contractor – Corporations, etc. 2. The undersigned is entitled to and hereby provides notice that the undersigned will claim a lien in the amount of $       . 3. Said lien amount is owed to the undersigned by:       (Name)       (Street Address)       (City, County, State, Zip Code) THEREFORE , pursuant to Alabama Code § 35-11-218, after receipt of this Notice, any unpaid balance in the hands of the owner or proprietor shall be held subject to a lien in favor of the undersigned. Date:             (Name of Business Entity) (Signature)       (Print or Type Name)       (Office, Position, Rank)       (Street Address)       (City, State, Zip Code) Notice of Lien Claimed by Persons Other Page 2 of 3 Than the Original Contractor – Corporations, etc. Certificate of Delivery I,       , hereby certify that I have delivered this day a true and correct copy of the foregoing to       by: Personal Service with signed receipt Mailing a true and correct copy of same by first-class U.S. mail, postage prepaid, return signed receipt requested to:       (Name)       (Street Address)       (City, County, State, Zip Code) Other (specify)       So certified this the       day of       , 20       . (Signature)       (Type or Print Name) Notice of Lien Claimed by Persons Other Page 3 of 3 Than the Original Contractor – Corporations, etc. EXHIBIT A Street Address:       Legal Description:       Notice of Lien Claimed by Persons Other Exhibit A Than the Original Contractor – Corporations, etc. EXHIBIT A Common/Street Address:       Summary of attached invoices/statements: Notice of Lien Claimed by Persons Other Exhibit A Than the Original Contractor – Corporations, etc.