ORS § 547.510
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NOTICE OF LIEN UPON CROPS
Notice is given that_____, a drainage district organized under and pursuant to the provisions of ORS chapter 547, claims a lien upon that certain crop of _____ growing on the following described lands located in the drainage district in _____ County, Oregon:_____, for that portion of the annual charges or assessments levied by the above-named drainage district against lands, or owners or occupants of the lands, on which the crop is growing, for maintenance and operation of the district, in the sum of $___; that the name of the owner or reputed owner of the crop is_____; that the owner of the land on which the crop is growing is_____; that no part of the charge or assessment for which a lien herein is claimed has been paid, except $___; and that there now is due and remaining unpaid thereon, after deducting all just credits and offsets, the sum of $___.
____________, Claimant.
State of Oregon,)
) ss.
County)
of______)
I, ____________, being first duly sworn, on oath say that I am _____ of the drainage district named in the foregoing claim, that I have personal knowledge of the facts therein set out; that I know the contents thereof, and believe the same to be true.
____________
Subscribed and sworn to before me this ___ day of_____, 2___.
____________
Notary Public for Oregon
(Seal) My commission expires________.
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ORS 547.510