Fill and Sign the Title 42 Possessory Lien Procedures on Vehicles Okgov Form

Notice of Lien Claimed by Persons Other Page 1 of 3Than the Original Contractor – Corporations, etc.Prepared by: After Recording, Return to: (Full Name of Party) (Company, if applicable) (Street Address) (City, State and Zip Code) NOTICE OF LIEN CLAIMED BY PERSONS OTHER THAN THE ORIGINAL CONTRACTOR – CORPORATION, LLC, ETC. (Ala. Code. § 35-11-218) COMES NOW, , as a representative of (Name of Party Executing Notice) a (Name of Corporation, LLC, Partnership, etc.) (State of Formation/Organization) , not the original contractor, which has performed (Corporation, LLC, Partnership, etc.) labor or furnished material for the improvement of the property described as: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description: and would hereby provide notice of the following:1.The undersigned provided the following labor and that/or materials for the above described property: See Invoices/Statements Attached as Exhibit B incorporated by reference as though set forth in full Itemize labor and/or materials furnished: Notice of Lien Claimed by Persons Other Page 2 of 3Than the Original Contractor – Corporations, etc.2.The undersigned is entitled to and hereby provides notice that the undersigned will claim a lien in the amount of $ .3.Said lien amount is owed to the undersigned by: (Name) (Street Address) (City, County, State, Zip Code) THEREFORE, pursuant to Alabama Code § 35-11-218, after receipt of this Notice, any unpaid balance in the hands of the owner or proprietor shall be held subject to a lien in favor of the undersigned.Date: (Name of Business Entity) (Signature) (Print or Type Name) (Office, Position, Rank) (Street Address) (City, State, Zip Code) Notice of Lien Claimed by Persons Other Page 3 of 3Than the Original Contractor – Corporations, etc. 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: (Name) (Street Address) (City, County, State, Zip Code) Other (specify) So certified this the day of , 20 . (Signature) (Type or Print Name) Notice of Lien Claimed by Persons Other Exhibit AThan the Original Contractor – Corporations, etc. EXHIBIT A Street Address: Legal Description: Notice of Lien Claimed by Persons Other Exhibit AThan the Original Contractor – Corporations, etc. EXHIBIT A Common/Street Address: Summary of attached invoices/statements: