Fill and Sign the Notice of Extension Corporation or Llc Alaska 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 EXTENSION—CORPORATION, LLC, etc. (A.S. § 34.35.080(a)(2)) COMES NOW, _________________________________ , as a lien claimant which has furnished labor, material, services, or equipment for the improvement of the property described as __________________________________ , and thereby would state as follows: 1. The undersigned lien claimant recorded an initial claim of lien on _____ day of __________ , 20 _____ . The initial claim of lien is recorded in Book ________ , Page ________ or Instrument/Serial Number ___________ in the office of the recorder in the district in which the real property is situated. 2. The current balance owed the undersigned lien claimant is the amount of $ _______________________ for labor, material, services, or equipment furnished. 3. Pursuant to Alaska Statute § 34.35.080(a)(2), the undersigned lien claimant requests a six-month extension of the binding effect of the initial lien on the real property described above. 4. The undersigned lien claimant has recorded this Notice of Extension in the same recording office within the original six-month period after the initial claim of lien was recorded. This the _____ day of __________ , 20 ______ . __________________________________ Name of Company By: __________________________ ______ _ _____ Signature Title __________________________________ Type or Print Name Notice of Extension Page 1 of 2 Attest: Secretary State of Alaska __________________________________ Judicial District __________________________________ Claimant I, __________________________________ , being first duly sworn, on oath say that I am __________________________________ named in the foregoing claim; that I have heard the claim read, know the contents of it, and believe it is true. _________________________ Signature __________________________________ Print or Type Name Subscribed and sworn to or affirmed before me this ____ day of ____________, 20____. ____________________________________ Signature of Officer taking Oath ____________________________________ Title of Officer Certificate of Delivery I, _____________________________________, hereby certify that I have delivered this day a true and correct copy of the foregoing to ___________________________________ by: ( ) Personal Service with signed receipt ( ) Mailing a true and correct copy of same by first-class U.S. mail, postage prepaid, return signed receipt requested to ___________________________, So certified this the ______ day of ___________________, 20____. ________________________ Signature AK § 34.35.080(a)(2) Notice of Extension Page 2 of 2