Fill and Sign the Stop Lending Notice Individual Form

Stop Lending Notice Page 1 of 3 STOP LENDING NOTICE —CORPORATION, LLC, etc. (A.S. § 34.35.062) COMES NOW, _____________________________________, as a representative of _____________________________________ a __________________________________ business entity to which payment for labor, material, service, or equipment furnished for a project is past due, and would provide notice of the following: 1. Pursuant to Alaska Statute § 34.35.062, the following lender, ___________________________________, is hereby notified to stop disbursing, advancing, or otherwise providing construction financing for the improvement of the property located at: __________________________________. 2.The undersigned corporate claimant, _____________________________________, may be reached at the following address and telephone number: __________________________________. 3.The undersigned corporate claimant furnished the following labor, material, services, or equipment to the above-mentioned project: _______________________________________. 4. Said labor, material, services, or equipment was furnished to ___________________________________.5.The owner of the property undergoing improvement in believed to be ____________________________________.6.The amount due and unpaid to the claimant for the labor, material, services, or equipment provided is $________________._________________________Name of Corporation. LLC, partnershipBy: _________________________________ ________ Signature Title _________________________Type or Print Name Stop Lending Notice Page 2 of 3 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 ______________________Title______________________Company NameState 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 com[any acknowledging) a (state or place of incorporation) company, on behalf of the sa id c o m pan y. Signature of Person TakingAcknowledgmentTitle 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____. Stop Lending Notice Page 3 of 3 ________________________Signature