Fill and Sign the Recording Information Content Osceola County Clerk of the

After Recording Return to: ) )))))))--------Above This Line Reserved For Official Use Only---------------- NOTICE OF LIS PENDENS All persons are hereby notified that the undersigned this day has filed or will file within seven (7) days hereafter, in the superior court for __________________ County, a petition to enforce a mechanics' lien against __________________________________(here insert name of the person against whom the petition has been or will be filed and his or her relationship to the land), concerning land described as follows: _____________________________________ __________________ (here insert description of land). The undersigned asserts that there is due to him or her the sum of __________________________ (here insert the amount claimed) under the mechanics' lien, which is based upon a notice of intention, under § 34-28-4 of the mechanics' lien law, mailed to __________________________________________________________ _______________________________________ (here insert name and address of person to whom mailing was made) on ____________________ (here insert date of mailing) and filed in the records of land evidence of the city or town of _______________________ (here insert name of city or town) on ____________________ (here insert date of filing of notice). The attorney for the undersigned is ______________________________________________________________ __________________ (here insert name and address of attorney). ___________________________________ (Name and address of person filing notice of lis pendens) State of Rhode Island County of _________ In _____________________ , in said County on the ____ day of ________ , 20 ___ , before me personally appeared ___________________________________ , each and all to me known, and know by me to be the party(ies) executing the foregoing instrument; and _____________________________________ acknowledged said instrument, by him/her/they executed, to be his/her/their free act and deed._________________________________ NOTARY PUBLIC My Commission Expires:___________________________ Acknowledgment for Corporation: State of Rhode Island County of _________ In ____________________ , in said County on the ____ day of ________ , 20 ___ , before me personally appeared _______________________ (name/title) of ____________________ , to me known and known by me to be the party executing the foregoing instrument on behalf of said corporation and he/she acknowledged said instrument by him/her executed to be his/her free act and deed, individually and in his/her said capacity and the free act and deed of said corporation. __________________________________________________ NOTARY PUBLIC My Commission Expires: RI-02317