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Filed: 12/8/2022 11:09 AM
EXHIBIT 1 Clerk
Tippecanoe County, Indiana
jocld:80042T:
Ik .-4003256
202222014818
FIUEO FOR RECORD IN
TIPPECANOE COUNTY, IN
SHANNON WITHERS, RECORDER
08/15/2022 03:43 PM
RECORDING FEE 25.00
SWORN STATEMENT AHD NOTICE OF INTENTION TO HOLD
MECHANIC'S LIEN
â–¡ate: August 15f 2022
TG; Sajred Amir Sadaghi
Addrsas: 2901 Teal Rd.r Lafayette, IS 47909
Xou ara hereby notified that Irving Materials, Inc.,
(hereinafter called
'"Claimant") whose address is 8032 N. State Rd. 9, Green
field, IN 46140, intendfs)
to hold a Mechanic's Lien on the following described
real estate:
Parcel 79-07-34-302-001.000-005, and as more speci
fically described in attached
Exhibit "A", and commonly known as 2901 Teal Rd. , Lafay
ette, IN 47909, and improvements
thereon, for •the amount of Five Thousand Three Hundred
Nine Dollars and Eighty-Nine
Cants ($5,309.89) for work and. labor done and mater
ials furnished by Claimant for
improvement(s) of said real estate within, the last
ninety (90) days, which
improvement (s> (is) (are) mors specifically described
as follows:
Aggregate and concrete materials and labor
The undersigned individually executing this instrument, having
been duly sworn upon his oath,
under the penalties of perjury hereby states that Claimant
intends to hold a mechanic's lien
upon the above-described real estate and the descr:
â– ament (s) , and that the facts
and matters set forth in the foregoing statement: ar
^correct.
Printed: James , Executive Treasurer
Irving Materia Inc.
{02033312-1 }
STATS OF ISDSAm )
)SS: Acknowledgment
COBSTTr OF SB2LBX )
Before m&, a Hotary Bublic in and for said County and State, personally
appeared,
James Beaty, Executive Treasurer, Irving Materials, Inc. , who acknowledged
the execution of the foregoing
Sworn Stataiaant and Notice of Intention to Hold Mechanic's Lien, and who,
having been duly sworn, under
the penalties of perjury, stated that the facts and matters therein sot
forth are true and correct.
Witness iay hand and Notarial Seal this 15th_ _ _ _ day of August, 2022,
Signature
i^H.jgjd-- ^ b-cRkekfJ^
My Coaaaission Expires: Z f Xol ZOBO
Printad 0rO\f)P'h
(notary public)
Residing in
.T~
Hfl,rrrif\ County, Indiana
I affirm under the penal ties for perjury that I have taken reasonable
care to redact
each social security.n costainad in this document unless required by law.
Pry pfv â–
M. Michael Stephenson |
This insfcrxar.eiit was prepared by 14. Michael Stephenson.) attorney at law.
^KBR’WSJwaa
= *:S!=ai ;?>= Marion Cour:ty
B *"-. ..’*5 Comrr.lsaton NumMr NP073928S
My Commission expires
February 20,2030
{02533312-1 }
UNOFFICIAL COPY
:
Exhibit A
A part of 9» half of fee West half ^ the Sssthwest Quarter of Sedion TMrfy-fbur
(34), Towrjshlp Tvrenty-
tfiBS ^3) Sorth, Rafiga Four (4) V&st, more patficuSsrSy desolbec as
fetters, to wit
Beginning af the Northeast earner of the Vfest half of the Southwest
Quarter of said Section, Township and
Range; runssing Ihence South on the East fine of the ^fest half of
ttie Southwest Quarter of said Secfon,
Township and Range, four tum&ed and sareniy-Wne and; sfc^Mfue
hundredths (479.65) 'Bet; nssnir^ therjee
We^ feiae hundred (300) test running Btens^ North In tie Noifii 6n@
of ite Souftiwest Quarlar of Section,
Township and Hange; thence East on fee Noirgi line of the Southwe
st Quarter three hundred (300) feel to tfte
point of beginning, containing in all tee aid thirty hundredths (3.30) acres,
more or less.
eXCEFTIKS A part of the Easl iiatf of tf» West half of the Southwe
st Quarter of Sectfen Tnirfy-fcur f34),
Tawnshlp 'ftKfs^-trree p3) North, Range Fsur (4) ttfest, mom parficula
rf^ described as Mows, to-wifc
Cojrenencing at an iron pin at the Northeast comer of the West half
of Ite Southwest Quarter .of said Section,
Township ansi Range, ryneiag thence South on the East fine of tie
West half of tie Southwest Quarter of said
SacSon, Township and Range 44.03’ to fee paint of beginning; sonfimA
ig South on the’ East line of fee West half
of tteSoutiwest Quarter sfsaMsecifoii, a distance of 15.00';' running
thanes Nofflroesferiy 21J2S’ to a point on
8» Soift sf wy irfSMs Road fi5; lunninp Sisnee Ea^ along the South right
of way cl Stats Roast #26 a
di^aKcaof lS.tMy tothepQintofbegteEHBg, cnnafrJng tee feousandSis
(.003) of ah acre, more or less
Learosg afier saW exception 3.2S7 acres, more or less.
Located in Fairfeid Township, Uppscaroe Coimiy. Indiana.
4880-3802-0326, V. 1 4
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Filed: 12/8/2022 11:09 AM EXHIBIT 1 Clerk Tippecanoe County, Indiana jocld:80042T: Ik .-4003256 202222014818 FIUEO FOR RECORD IN TIPPECANOE COUNTY, IN SHANNON WITHERS, RECORDER 08/15/2022 03:43 PM RECORDING FEE 25.00 SWORN STATEMENT AHD NOTICE OF INTENTION TO HOLD MECHANIC'S LIEN □ate: August 15f 2022 TG; Sajred Amir Sadaghi Addrsas: 2901 Teal Rd.r Lafayette, IS 47909 Xou ara hereby notified that Irving Materials, Inc., (hereinafter called '"Claimant") whose address is 8032 N. State Rd. 9, Green field, IN 46140, intendfs) to hold a Mechanic's Lien on the following described real estate: Parcel 79-07-34-302-001.000-005, and as more speci fically described in attached Exhibit "A", and commonly known as 2901 Teal Rd. , Lafay ette, IN 47909, and improvements thereon, for •the amount of Five Thousand Three Hundred Nine Dollars and Eighty-Nine Cants ($5,309.89) for work and. labor done and mater ials furnished by Claimant for improvement(s) of said real estate within, the last ninety (90) days, which improvement (s> (is) (are) mors specifically described as follows: Aggregate and concrete materials and labor The undersigned individually executing this instrument, having been duly sworn upon his oath, under the penalties of perjury hereby states that Claimant intends to hold a mechanic's lien upon the above-described real estate and the descr: ■ament (s) , and that the facts and matters set forth in the foregoing statement: ar ^correct. Printed: James , Executive Treasurer Irving Materia Inc. {02033312-1 } STATS OF ISDSAm ) )SS: Acknowledgment COBSTTr OF SB2LBX ) Before m&, a Hotary Bublic in and for said County and State, personally appeared, James Beaty, Executive Treasurer, Irving Materials, Inc. , who acknowledged the execution of the foregoing Sworn Stataiaant and Notice of Intention to Hold Mechanic's Lien, and who, having been duly sworn, under the penalties of perjury, stated that the facts and matters therein sot forth are true and correct. Witness iay hand and Notarial Seal this 15th_ _ _ _ day of August, 2022, Signature i^H.jgjd-- ^ b-cRkekfJ^ My Coaaaission Expires: Z f Xol ZOBO Printad 0rO\f)P'h (notary public) Residing in .T~ Hfl,rrrif\ County, Indiana I affirm under the penal ties for perjury that I have taken reasonable care to redact each social security.n costainad in this document unless required by law. Pry pfv ■M. Michael Stephenson | This insfcrxar.eiit was prepared by 14. Michael Stephenson.) attorney at law. ^KBR’WSJwaa = *:S!=ai ;?>= Marion Cour:ty B *"-. ..’*5 Comrr.lsaton NumMr NP073928S My Commission expires February 20,2030 {02533312-1 } UNOFFICIAL COPY : Exhibit A A part of 9» half of fee West half ^ the Sssthwest Quarter of Sedion TMrfy-fbur (34), Towrjshlp Tvrenty- tfiBS ^3) Sorth, Rafiga Four (4) V&st, more patficuSsrSy desolbec as fetters, to wit Beginning af the Northeast earner of the Vfest half of the Southwest Quarter of said Section, Township and Range; runssing Ihence South on the East fine of the ^fest half of ttie Southwest Quarter of said Secfon, Township and Range, four tum&ed and sareniy-Wne and; sfc^Mfue hundredths (479.65) 'Bet; nssnir^ therjee We^ feiae hundred (300) test running Btens^ North In tie Noifii 6n@ of ite Souftiwest Quarlar of Section, Township and Hange; thence East on fee Noirgi line of the Southwe st Quarter three hundred (300) feel to tfte point of beginning, containing in all tee aid thirty hundredths (3.30) acres, more or less. eXCEFTIKS A part of the Easl iiatf of tf» West half of the Southwe st Quarter of Sectfen Tnirfy-fcur f34), Tawnshlp 'ftKfs^-trree p3) North, Range Fsur (4) ttfest, mom parficula rf^ described as Mows, to-wifc Cojrenencing at an iron pin at the Northeast comer of the West half of Ite Southwest Quarter .of said Section, Township ansi Range, ryneiag thence South on the East fine of tie West half of tie Southwest Quarter of said SacSon, Township and Range 44.03’ to fee paint of beginning; sonfimA ig South on the’ East line of fee West half of tteSoutiwest Quarter sfsaMsecifoii, a distance of 15.00';' running thanes Nofflroesferiy 21J2S’ to a point on 8» Soift sf wy irfSMs Road fi5; lunninp Sisnee Ea^ along the South right of way cl Stats Roast #26 a di^aKcaof lS.tMy tothepQintofbegteEHBg, cnnafrJng tee feousandSis (.003) of ah acre, more or less Learosg afier saW exception 3.2S7 acres, more or less. Located in Fairfeid Township, Uppscaroe Coimiy. Indiana. 4880-3802-0326, V. 1 4