Fill and Sign the Notice of Assignment of Lien Corporation or Llc New York 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 ASSIGNMENT OF LIEN- CORPORATION (N.Y. Lien Law § 15) The undersigned _________________________________ , as a representative of _________________________________ a ________________________________ corporate lienor __________________________________ whose address is ______________________________________________________________________ hereby provides notice to _______________________________ (owner) that on ________________ (date) the corporation assigned its claim and lien which was recorded at __________________________________ on ________________ (date) for labor, materials, or laborers furnished for the purpose of improvements of real property to ___________________________________ whose address is ______________________________________________________________________ , the assignment to be terminated on ________________ (date) (not more than two years after the date of the assignment) . A description of the substance of the lien assigned is ________________________________________________________________________ ________________________________________________________________ , and the real property is located at (including each county name) and described as ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ , (including the name of the record owner and the location of the real estate by street and number and town or city or, if the real estate is in the city of New York, by county, except that if the real estate is in the city of New York or counties of Nassau or Onondaga, include the block in which the real estate is situated). The maximum balance of advances outstanding to be secured by the assignment is __________________ . From the date of this notice, no arrangements or payments may be made without the assignee’s consent. This the _____ day of _______________ , 20 ______ . Notice of Assignment of Lien Page 1 of 2 ______________________________ Signature of Lien Holder _____ _________________________ Type or Print Name _____ _________________________ Title _____ _________________________ Corporation Attest: Secretary STATE OF NEW YORK COUNTY OF ___________________ On the ______________ day of ______________ in the year ______________ before me personally came ____________________________ to me known, who, being by me duly sworn, did depose and say that he/she/they reside(s) in ____________________________ (if the place of residence is in a city, include the street and street number, if any, thereof); that he/she/they is (are) the _______________________________________ (president or other officer or director or attorney in fact duly appointed) of the __________________________ (name of corporation), the corporation described in and which executed the above instrument; and that he/she/they signed his/her/their name(s) thereto by authority of the board of directors of said corporation. ______________________________ Notary Public Printed Name: _________________ My Commission Expires: _____________________ Notice of Assignment of Lien Page 2 of 2