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<br />INSTRUCTIONS: <br />(I) If the lien is claimed by a firm or corporation, state here that affiant is a member of the firm or his <br />official capadty in tb corporation. <br />(~) State here whether verbal or written contract. If written, attach copy, or lien is void. <br />(3) "Erectian," "Construction," "Alteration," or "Repair," as the case may be. <br />r 4) Here insert correct legal description of land. <br />(S) If the labor and material were furnished the contractor andnol the owner direct"state i'th4L";"'_"'k" <br />was the contractor on said building and acting for the owner." <br />(6) If noteJu:rsbecn given, say "said amountisfurther evidenced by a promissory note, a copy of said. note <br />being hereto attached and marked 'ExhilJit B'." <br /> <br /> <br />