Chapter 7 - EXHIBIT 7A • NOTICE BY DISBURSER

• Jurisdiction: Colorado

EXHIBIT 7A • NOTICE BY DISBURSER NOTICE BY DISBURSER* Section 38-22-126, Colorado Revised Statutes

Pursuant to Section 38-22-126, Colorado Revised Statutes, and in connection with funds to be paid or disbursed as work progresses upon a structure or other improvements on the land described below, this notice is given by the undersigned Disburser.

The Disburser is:

Check whichever is applicable:

[ ] a lender who has agreed to make a loan to the owner or contractor,

[ ] a person who will receive funds from a lender, contractor or owner,

[ ] an owner who has agreed to pay any sum to a contractor, and such loan, funds or sum is to be disbursed or paid from time to time as work upon a structure or other improvements progresses or to be partially withheld until all or any part of any such work is completed.

1. The name, address and telephone number of the owner(s) of the land to be improved:

Name Address Telephone

2. The name, address and telephone number of the principal contractor(s):

Name Address Telephone

3. The name, address and telephone number of the Disburser:

Name Address Telephone

4. The land to be improved is situate in the __________** County of __________, State of Colorado, and is described as follows:

Legal Description Address

__________
Disburser

By __________

*Copies of this notice, whether or not executed by Disburser, may be used as the statements of information required by 38-22-126(3) C.R.S. to be furnished materialmen and other suppliers.

**Insert "City and" when applicable.

No. 85. Rev. 11-09. NOTICE BY DISBURSER (Mechanic's Lien) (Page 1 of 3)

Acknowledgment of receipt of Information Required by Section 38-22-126(3).

The undersigned who has received an order or has contracted to furnish labor, services, machinery, tools, equipment, laborers or materials to be used in the work above mentioned acknowledges that he has been furnished a statement of the foregoing information this __________ (date).

__________

By __________

Section 38-22-126 Colorado Revised Statutes.

38-22-126. Disburser--notice—duty of owner and disburser. (1) For the purposes of this section, the word "disburser" means any lender who has agreed to make any loan to the owner or contractor, the proceeds of which are to be disbursed from time to time as work upon a structure or other improvement progresses, or any part of which is to be withheld until all or any part of such work is completed; or, any person who receives funds from any lender, contractor, or owner to be...