Fill and Sign the Maine Llc Company 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 TO BONA FIDE PURCHASER--Corporation (M.R.S.A. § 3255(2)) COMES NOW, ___________________________________ , as a representative of ________________________________ a _______________________________ corporation and would state the following: 1. The undersigned corporation has provided labor, materials, or services for the improvement of the property located at _____________________________________________________ and described as: ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ . 2. The above-described property is owned by __________________________________ . 3. The undersigned corporation ( ) is going to perform or furnish, ( ) is performing or furnishing, ( ) has performed or furnished labor, materials, or services for the improvement of the above-mentioned property and is entitled to therefore claim a lien. 4. Notice is hereby given that any bona fide purchaser for value of the above- described property who purchases said property within one hundred and twenty (120) days of this notice takes title of said property subject to the lien of the undersigned. This the _____ day of ________________ , 20 ______ . ________________________ Signature _____ ___________________ Notice to Bona Fide Purchaser Page 1 of 2 Type or Print Name _____ ___________________ Title _____ ___________________ Corporation Attest: Secretary STATE OF MAINE COUNTY OF __________________ The foregoing instrument was acknowledged before me this the __ day of ____________, 20___, by ________________________________________________ (name of officer or agent, title of officer or agent) of _______________________________________ (name of corporation acknowledging) a _____________________________________ (state or place of incorporation) corporation, on behalf of the corporation. ___________________________________ Signature of Notary Public ___________________________________ Name of Notary Public Notary Public, State of Maine My commission expires: ____________________ Notice to Bona Fide Purchaser Page 2 of 2