(Top 3 inches reserved for recording data) ASSIGNMENT OF MECHANIC'S LIEN by Business Entity DATE: Minnesota Uniform Conveyancing Blanks Form 40.2.2 (2011) (month/day/year) FOR VALUABLE CONSIDERATION, a ("Assignor"), hereby sells, assigns, and transfers to under the laws of (insert name of Assignor) , (insert name of each Assignee) , ("Assignee"), , executed by , (or in Book a mechanic's lien, the verified statement and claim for which is dated (month/day/year) and recorded on of Page (month/day/year) , as Document Number ), in the Office of the (insert name of party signing original lien statement) County Recorder Registrar of Titles of (check the applicable boxes) County, Minnesota, together with all right and interest in and to the debt thereby secured. Assignor (name of Assignor) By: (signature) Its: By: (type of authority) (signature) Its: (type of authority) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 Minnesota Uniform Conveyancing Blanks Form 40.2.2 State of Minnesota, County of This instrument was acknowledged before me on , by as (month/day/year) (name of authorized signer) (type of authority) and by as (type of authority) (name of authorized signer) of (name of Assignor) . (Stamp) (signature of notarial officer) Title (and Rank): My commission expires: (month/day/year) THIS INSTRUMENT WAS DRAFTED BY: (insert name and address) American LegalNet, Inc. www.FormsWorkFlow.com