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<br />~~~ <br /> <br />....... <br /> <br />Date: <br />Name of Allottee: <br />Loan Number: <br />Name of Lender: <br /> <br />Mailing Address: <br /> <br />Contact Person: <br /> <br />Phone Number: <br />Fax Number: <br /> <br />Notice of Claim of Lien or Other Interest In a Class D Allotment <br />and <br />Request for Notification of Action Regarding a Class D Allotment <br /> <br />JUL'f 21() I ?JJrYJ <br />AQ,S,TOCl2AT RAJ.J.CHE1TE WATE'<. PR.OJEc:r, IDe..... <br />LOAI-J f~fTQACr C/537.3q <br />(I.oUJ R.AW WA. TF-.A C/;JJJ.85RVA T 10M BOAR)) <br />13L"::) SHERHA./\J Sr'.' Rf)At1 '/21 <br />DE:.NVEQ. CO gV20~ <br />..J~J\l \ LL I A~ <br />~- "6!..D{o - 34A.L <br />303 - 8fg(o.- 4.1:l7!L <br /> <br />Complete Legal Descrtption of Land ~ which a Class D Allotment has been made and which Is subject to the <br />ClaJm of LIen or Other Interest: <br />'2-0 A,cgF - FonT UN ITS Of:" CDWo..AJ''f) - :B I (",., THOll f\,."'0,j <br />P/2..()J Ff'T W A Tel<. . APPRnv'Eb 13\f 1Ht= ''-If'U)c...J) BoAk?b <br />~ M/>I'-/ IY, IqClq <br /> <br />.. <br /> <br />(If more space Is needed. please o:>ntinue legal descriptfon on the back of this form.) <br /> <br />One of the followtng documents must be attached to this Notice: <br /> <br />I. A copy of the recorded Deed of Trust which has been executed by the allottee of record. <br /> <br /> <br />2. A copy of the recorded DCC-I which has been executed by the allottee of record. <br /> <br />3. A copy of a Court Judgment and Decree which creates or recognizes an Interest In the allotment <br />contract for the benefit of the party filJngth1s notice. <br /> <br />4. A copy of the transcrtpt of a money judgment In favor of the party filJng this notice which has been <br />granted by a Court havtng jurtsdlction. <br /> <br />5. A copy of any other Instrument evidencing Interest In the Class D AllotmenL <br /> <br />Iand-a1l\forms \no(-ll~.aJt <br /> <br /><..... <br /> <br /> <br />Please return this fo <br /> <br />Northern Colorado Water Conservancy District <br />P. O. Bo:&: 679 <br />Loveland. Colorado 80539 <br />(970) 667-2437 <br />