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<br />-~ <br />~ <br /> <br />Date; <br />Name of Allottee; <br />Loan Number: <br />Name Of Lender: <br /> <br />MatI1ngAddress; <br /> <br />Contact Person; <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,/ 2/t) I ? DrY; <br />AR1S.TOCRAT RAlJ,CHETfE: WATEC<. H:<..OJEcr, JUG. <br />LOAIJ [1tUTQA('r C.-I537.31 <br />(I DLO RAW WA TF:A CfJf.1~\fA nOM BDAR)) <br />/3l::S SHFRHAt.J Sr') Rf)FJt1 '72..1 <br />DeNVER. co BV2o~ <br />--JAJ\l 1 LL J A~ <br />~- 'gf.D{o - 34AL <br />303 - f)tg0- 4.LL.7.1.- <br /> <br />Complete Legal Description orLand ,to which a Class D Allotment has been made and which Is subject to the <br />Claim of Uen or Other Interest: <br />3.0 ACRF:-FonT UNITS Of=' (.oWC<.A;/Y)- gJ(",..,THOtlf\.~)j <br />P12..rllFPTWATCR.. APPRnvEb By 1]tf' }..jrJ.vc-!\ t50Af<b <br />.a.t:L-lJnvf-HBSQ 1:3! /qqs <br /> <br />Uf mare space is needed, please continue legal descriptton on the back of this form) <br /> <br />One of the following 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 />2. A copy of the recorded UCC-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 flling this tlotice. <br /> <br />4. A copy of the transcript of a money judgment fIl favor of the party flling this notice which has been <br />granted by a Court havtng jUI1sdJctlon. <br /> <br />5. <br /> <br />A copy of any other Instrument evtdenT <br /> <br />the Class D Allotment. <br /> <br /> <br />Please return this fOU <br /> <br />Northern Colorado Watet Conservancy District <br />P. O. 80% 679 <br />Loveland. Colorado 80539 <br />(970) 667-2437 <br />