Fill and Sign the Nd Assignment Form

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 CLAIMS – INDIVIDUAL ( N.D.S. § 35-27-27) COMES NOW, ________________________________ , as a party who has provided labor or materials for the improvement of the property located at and described as ________________________________________________________________________ _______________________________________________________________________ , and would state as follows: 1. On or about the _____ day of ______________ , 20 _______ the undersigned lien claimant, __________________________________ , of the following address _______________________________________________________________________ , filed a Verified Notice of Intention to Claim Mechanic’s Lien regarding the above described property in the amount of $ _____________ . 2. Said lien and the right to recover therefore under the provisions of N.D.S. § 35- 27-01 et seq. , are hereby expressly assigned to __________________________________ , of the following mailing address, _______________________________________________________________________ . 3. This assignment vests in the assignee all rights and remedies herein given, subject to all defenses that might have been interposed if such assignment had not been made. This the _____ day of ________________ , 20 ______ . ______________________________ Signature _____ _________________________ Type or Print Name Assignment of Claims Page 1 of 2 STATE OF NORTH DAKOTA COUNTY OF _________________ The foregoing instrument was acknowledged before me this _____ day of ____________ , 20 ______ by __________________________________ (name of person acknowledging). _____________________________ Notary Public Printed Name: _________________ My Commission Expires: _____________ Assignment of Claims Page 2 of 2