Fill and Sign the North Dakota 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 – CORPORATION ( N.D.S. § 35-27-27) COMES NOW, ________________________________ , as a representative of _________________________________ a _________________________________ corporation 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 _____ _____________________________ Assignment of Claims Page 1 of 2 Type or Print Name _____ _____________________________ Title _____ _____________________________ Corporation Attest: Secretary STATE OF NORTH DAKOTA COUNTY OF ______________ The foregoing instrument was acknowledged before me this _____ day of ______________ , 20 ______ by ___________________________________ (name of officer or agent and title of officer or agent) of _________________________________ (name of corporation acknowledging), a _______________________________ (state or place of incorporation) corporation, on behalf of the corporation. _____________________________ Notary Public Printed Name: _________________ My Commission Expires: ________________ Assignment of Claims Page 2 of 2