Fill and Sign the Property Located at and Legally Described as Form

Assignment of Lien Page 1 of 2 Prepared by, recording requested by and return to: Name: ___________________ Company: ____________________ Address: ______________________ City: ________________________ State: _____ Zip: _________ Phone: _____________________ Fax: _____________________ ----------------------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 legally described as _________________________________________________________________, such that the undersigned lienor is entitled to a lien for the value of labor, materials, or laborers supplied. The undersigned last performed work or furnished materials on the _____ day of ________________, 20_______. Notice is hereby given that the above-mentioned lienor does hereby assign its claim and lien in the amount of $ _______________ 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 2 Attest: Secretary Witnessed by: ________________________________________________________ State of South Carolina County of __________________ The foregoing instrument was acknowledged before me this ___________________ (date) by ________________________________ (name of officer or agent, title of officer or agent) of __________________________________ (name of corporation acknowledging) a ___________________________________ (state or place of incorporation) corporation, on behalf of the corporation. ____________________________________ Notary Public Print Name: _________________________ My commission expires: _________________