Fill and Sign the Mi Assignment Form

Assignment of Lien Page 1 of 2 Prepared by, recording requested by and return to: ---------------------- Above this Line for Official Use Only --------------------- Name: ___________________ Company: ____________________ Address: ______________________ City: ________________________ State: _____ Zip: _________ Phone: _____________________ Fax: _____________________ ASSIGNMENT OF LIEN - INDIVIDUAL (M.S.A. § 570.1125) Beginning on or about the _____ of _______________ , 20 _____ , the undersigned lien claimant, _________________ _________________ , whose address is _________________________________________________________________ , furnished or supplied labor, materials, or laborers to ___________________________________ for the purpose of improvements of real property located at and described as _________________________________________________________________ (include property tax identification number and address) , such that the undersigned lien claimant is entitled to a lien for the value of labor, materials, or laborers supplied. Notice is hereby given that pursuant to M.S.A. § 570.1125, the above -mentione d lien claimant does hereby assign his or her claim and lien to ___________________________________ , whose a ddress is _______________________________________ __________________________ , who shall hereafter have all the rights and remedies under law to which the lien claimant is entitled subject to all defenses thereto that might be made if such assignment had not been made , for the purpose of filing and for the enforcement of the above -mentioned lien. Specifically, t he assignee shall have the same power to enforce the construction lien, including the right to maintain proceedings for the enforcement of the lien, and shall be subject to the same obligations, as if the proceedings were being taken by, and in the name of, the lien claimant. This the _____ day of _______________ , 20 ______ . ______________________________ Signature _____ _________________________ Type or Print Name Assignment of Lien Page 2 of 2 STATE OF MICHIGAN COUNTY OF _______________ The foregoing instrument was acknowledged before me this the _____ day of ___________ , 20 ______ , by ___________________________________ (name). ______________________________ Notary Public, State of Michigan ______________________________ Printed Name Commission Expires: _____________ ___________________________ Prepared By: ______ _____________________ Name ___________________________ Address