Fill and Sign the Ct Notice 497301010 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 - INDIVIDUAL (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 _____ . _________________________ Signature _____ ____________________ Print or Type Name State of Connecticut County of __________________ On this the ____________ day of _____________________, ____________, before me, ________________________ (name of notary), personally appeared ____________________________________, known to me (or satisfactorily proven) to be the person(s) whose name(s) _________ ( is or are) subscribed to the within instrument and acknowledged that ________________________ (he/she/they) executed the same for the purposes therein contained. In witness whereof I hereunto set my hand. Date:___________________________ ______________________________ Notary Public Print Name: ___________________ My Commission Expires: ____________________ Notice of Lis Pendens Page 2 of 3 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