Fill and Sign the Records Request Form Njcourts

Notice of Extension Page 1 of 2Prepared by, recording requested by and return to:Name: _______________________Company: _____________________Address: ______________________City: ________________________State: ______Zip: __________Phone: _______________________Fax: ________________________----------------------Above this Line for Official Use Only--------------------- 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 CompanyBy: _________________________________ _____ Signature Title __________________________________Type or Print Name Notice of Extension Page 2 of 2Attest: 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 NameSubscribed 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)