Fill and Sign the Ut Corporation 497427416 Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: ___________________ Company: ____________________ Address: ______________________ City: ________________________ State: _____ Zip: _________ Phone: _____________________ Fax: _____________________ Nature of Document: Assignment of Lien 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 located at and described as: _________________________________________________________________ , 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 _____ _____________________________ Corporation Assignment of Lien Page 1 of 2 Attest: Secretary Acknowledgment of Corporation State of Utah County of __________________ On the ______ day of __________________ , 20 ______ , personally appeared before me ______________________________ ,who being duly sworn, did say that he/she is the ________________________ of ______________________________ , a corporation, and that said instrument was signed on behalf of said corporation by authority of a resolution of its Board of Directors, and said ______________________________ acknowledged to me that said corporation executed the same. (Seal) Notary Public My commission expires:             Type or Print Name Residing at:       Certificate of Delivery I, ___________________________________ , hereby certify that I have delivered this day a true and correct copy of the foregoing to __________________________________ by: ( ) Personal Delivery ( ) Mailing a true and correct copy of same by registered U.S. mail, postage prepaid, return receipt requested to _________________________________ . So certified this the _____ day of _______________ , 20 ______ . ________________________ Signature Assignment of Lien Page 2 of 2