Fill and Sign the Mt Lien 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 RIGHT TO CLAIM LIEN--CORPORATION (M.C.A.§ 71-3-532) COMES NOW, __________________________________ , as a representative of ________________________________ a ________________________________ corporation, and would hereby provide Notice of the following: 1. This is a Notice of a Right to Claim a Lien against real estate for services or materials furnished in connection with improvement of the real estate. 2. Said improvements were made to the real estate described as: ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ . 3. The name of the owner of the above-described real estate is _________________________________ . 4. The owner's address is _______________________________________________________________________ . NOTICE OF THE RIGHT TO CLAIM A LIEN WARNING: READ THIS NOTICE. PROTECT YOURSELF FROM PAYING ANY CONTRACTOR OR SUPPLIER TWICE FOR THE SAME SERVICE. This is to inform you that ________________________________ has begun to provide ________________________________________________________________________ ________________________________________________________________________ (description of services or materials) ordered by _______________________________ for improvements to property you own. The property is located at _______________________________________________________________________ . If $ ________________ is not paid, a lien may be filed against the property. Notice of Right to Claim Lien Page 1 of 4 THIS IS NOT A LIEN. It is a notice sent to you for your protection in compliance with the construction lien laws of the state of Montana. This notice has been sent to you by: NAME: ________________________________ ADDRESS: ________________________________________________ ________________________________________________ ________________________________________________ TELEPHONE: ________________________________ Under Montana's laws, those who work on your property or provide materials and are not paid have a right to enforce their claim for payment against your property. This claim is known as a construction lien. If your contractor fails to pay subcontractors or material suppliers or neglects to make other legally required payments, the people who are owed money may look to your property for payment, even if you have paid your contractor in full. The law states that all people hired by a contractor to provide you with services or materials are required to give you a notice of the right to claim a lien to let you know what they have provided. WAYS TO PROTECT YOURSELF ARE: -- RECOGNIZE that this notice of delivery of services or materials may result in a lien against your property unless all those supplying a notice of the right to lien have been paid. -- LEARN more about the construction lien laws and the meaning of this notice by contacting an attorney or the firm sending this notice. -- WHEN PAYING your contractor for services or materials, you may make checks payable jointly to the contractor and the firm furnishing services or materials for which you have received a notice of the right to claim a lien. -- OBTAIN EVIDENCE that all firms from whom you have received a notice of the right to claim a lien have been paid or have waived the right to claim a lien against your property. -- CONSULT an attorney, a professional escrow company, or your mortgage lender. This the _____ day of ________________ , 20 ______ . Notice of Right to Claim Lien Page 2 of 4 ______________________________ Signature _____ _________________________ Type or Print Name _____ _________________________ Title _____ _________________________ Corporation Attest: Secretary STATE OF MONTANA COUNTY OF _________________ This instrument was acknowledged before me on _______________ (date), by ___________________________________ (name(s)) as type of authority, e.g., officer, trustee, etc.) of ____________________________________ (party on whose behalf instrument was executed). ______________________________ Notary Public Printed Name: _________________ (SEAL) Title (and Rank): _______________ Residing at:____________________ My Commission Expires: ________________ 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 U.S. mail, postage prepaid, return receipt requested to __________________________________ . ( ) Personal Service NOTE: If the Notice is delivered, written acknowledgement of receipt must be obtained from the owner. So certified this the _____ day of ______________ , 20 ______ . ________________________ Signature Notice of Right to Claim Lien Page 3 of 4 Acknowledgement of Receipt I , ___________________________________________, as owner of the property described in this document hereby acknowledge receipt of this Notice of Right to Claim Lien. Acknowledged this the ____day of ____________________, 20____. ______________________________ Signature MT § 71-3-532 Notice of Right to Claim Lien Page 4 of 4