Fill and Sign the Property Located at and Described as Form

Assignment of Lien Page 1 of 2Prepared by, recording requested by and return to:Name: ___________________Company: ____________________Address: ______________________City: ________________________State: _____Zip: _________Phone: _____________________Fax: _____________________Nature of Document: Assignment of Lien----------------------Above this Line for Official Use Only--------------------- ASSIGNMENT OF LIEN- CORPORATION Beginning on or about the _____ of _______________, 20_____, __________________________________, the undersigned, as a representative of _________________________________ a _________________________________ corporate lienor, furnished or supplied labor, materials, or laborers to ___________________________________ for the purpose of improvements of real property located at and described as: _________________________________________________________________, such that the undersigned lienor is entitled to a lien for the value of labor, materials, or laborers supplied. Notice is hereby given that the above-mentioned lienor does hereby assign its claim and lien to ___________________________________, who shall hereafter have all the rights and remedies under law to which the lienor is entitled subject to all defenses thereto that might be made if such assignment had not been made, for the purpose of filing and for the enforcement of the above-mentioned lien. This the _____ day of _______________ , 20______. __________________________________Signature__________________________________ Type or Print Name __________________________________Title__________________________________Corporation Assignment of Lien Page 2 of 2Attest: Secretary Acknowledgment of Corporation State of UtahCounty of __________________On the ______ day of __________________ , 20______, personally appeared before me ______________________________,who being duly sworn, did say that he/she is the ________________________ of ______________________________ , a corporation, and that said instrument was signed on behalf of said corporation by authority of a resolution of its Board of Directors, and said ______________________________ acknowledged to me that said corporation executed the same.(Seal)Notary PublicMy commission expires: Type or Print NameResiding at: Certificate of Delivery I, ___________________________________, hereby certify that I have delivered this day a true and correct copy of the foregoing to __________________________________ by: ( )Personal Delivery ( )Mailing a true and correct copy of same by registered U.S. mail, postage prepaid, return receipt requested to _________________________________. So certified this the _____ day of _______________, 20______. ________________________Signature