Attorney Lien {40.1.3}

(Top 3 inches reserved for recording data) ATTORNEY LIEN Minn. Stat. 481.13 DATE: Minnesota Uniform Conveyancing Blanks Form 40.1.3 (2011) (month/day/year) NOTICE IS HEREBY GIVEN, pursuant to Minn. Stat. 481.13, that the undersigned, , a licensed attorney (the "Lien Claimant"), hereby claims and intends to hold a lien for compensation for legal services in the amount of Dollars ($ ) upon the interest of (the "Client") in that certain real property in County, Minnesota, legally described as follows: Check here if all or part of the described real property is Registered (Torrens) Lien Claimant (signature of Lien Claimant) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 Minnesota Uniform Conveyancing Blanks Form 40.1.3 State of Minnesota, County of This instrument was acknowledged before me on , by . (month/day/year) (insert name of Lien Claimant) (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