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Fill and Sign the Revocation of Stop Lending Notice Individual Alaska Form

Fill and Sign the Revocation of Stop Lending Notice Individual Alaska Form

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REVOCATION OF STOP LENDING NOTICE--INDIVIDUAL ( A.S. § 34.35.062) COMES NOW, __________________________________ , a claimant to whom payment for labor, material, services, or equipment furnished for a project was or is past due, and would provide notice of the following: 1. Pursuant to Alaska Statute § 34.35.062, the undersigned claimant provided notice to the following lender, ___________________________________ , to stop disbursing, advancing, or otherwise providing construction financing for the improvement of the property located at: __________________________________ . 2. The undersigned claimant would now hereby expressly revoke the above mentioned stop lending notice issued on or about the ______ day of _______________ , 20 _______ , such that the undersigned is hereby no longer entitled to hold the lender liable for payments made contrary to the stop lending notice. _________________________ Signature _______ __________________ Print or Type Name Verification I ________ _____________________ say on oath or affirm that I have read the foregoing (or attached) document and believe all statements made in the document are true. _________________________ Signature State of Judicial District (or County) of or Municipality 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 Revocation of Stop Lending Notice Page 1 of 2 incorporation) corporation, on behalf of the corporation. Signature of Person Taking Acknowledgment Title or Rank Serial Number, if any My Commission Expires: __________________ 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 Revocation of Stop Lending Notice Page 2 of 2

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