Fill and Sign the This Instrument Was Acknowledged Before Me on Day of Form

Assignment of Lien 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--------------------- 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 at _________________________________________________________________, such that the undersigned lienor is entitled to a lien for the value of labor, materials, or laborers supplied. Notice is hereby given that the above-mentioned lienor does hereby assign its claim and lien 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__________________________________CorporationAttest: Assignment of Lien Page 2 of 2 Secretary STATE OF WYOMINGCOUNTY OF __________________ This instrument was acknowledged before me on ______ day of ______________, 20______, by __________________________________ (name(s) of person(s)) as __________________________________ (type of authority, e.g., officer, trustee, etc.) of __________________________________(name of party on behalf of whom instrument was executed).___________________________________(Seal, if any) (Signature of notarial officer) ___________________________________ Title (and Rank)My Commission Expires:__________________