Fill and Sign the List Labor Form

DEMAND BY MORTGAGEE FOR LIST OF LABOR AND MATERIALS – CORPORATION (Or. Rev. Stat. § 87.025(4)) COMES NOW, _________________________________ , as the representative of _________________________________ a _______________________________ corporate mortgagee of the property undergoing improvement located at and described as ________________________________________________________________________ _________________________________________________ , and would state as follows: 1. On or about the _____ day of _______________ , 20 ______ , the undersigned received notice of delivery of materials or supplies in accordance with the provisions of Or. Rev. Stat. § 87.025(3) from _________________________________ (person furnishing such materials and supplies). 2. Pursuant to Ok. Rev. Stat. § 87.025(4), the undersigned mortgagee hereby demands that the above named person furnishing such materials and supplies provide, within fifteen (15) days of receipt of the demand, not including Saturdays, Sundays and other holidays, a list of the materials or supplies, including a statement of the amount due by reason of delivery thereof. 3. NOTICE: Failure to furnish the list or the amount due by the person giving notice of delivery of the materials or supplies shall constitute a waiver of the lien preferences provided in Ok. Rev. Stat. § 87.025(1) and (2). This the _____ day of ________________ , 20 ______ . ______________________________ Signature _____ _________________________ Type or Print Name _____ _________________________ Title _____ _________________________ Name of Corporation Demand by Mortgagee for List of Labor Page 1 of 2 Certificate of Delivery I, _____________________________________, hereby certify that I have delivered this day a true and correct copy of the foregoing to ___________________________________ by: ( ) Mailing a true and correct copy of same by certified or registered U.S. mail, postage prepaid, return receipt requested. So certified this the ______ day of ___________________, 20____. ________________________ Signature Demand by Mortgagee for List of Labor Page 2 of 2