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INSTRUCTIONS: <br />(r) If the lien is claimed by a firm or corporation, state here that ajfiant is a member of the firm or his <br />0~ltutl Capacity iri the corporation. <br />(a) Sta#e heir wketker verbal a~ €+tsitte~: con€rrt. If xritten, attach ropy, or lien is void. <br />(g) "Erection," "Construction," "tllteratcon," ar "Repair" as the case may b¢. <br />(¢) Here insert co;.ect legal description of land. <br />(5) If the labor and material zcere furnislsed the contractor and not the oumer direct, state "that...._._....:._._. <br />auas the eontracWr on said building and acting for the oumer." <br />(b) If note has been given, say "said amount is further evidenced by a promissory note, a copy of ;aid note <br />be~sng hereto attached and mocked `E.rhibit B'." <br />~ ~,ci i <br />-- - --- '.S~~~'~ <br /> <br />