STATE OF OKLAHOMA
__________COUNTY
NOTICE OF REFUSAL
The Office of County Clerk of __________County, Oklahoma, has on __________(date) refused to file a document designated ___________ (title of document or brief description of document). The document constitutes a claim or lien on the following property:
______________ _______________________________________________
(Description of ______________________ property. In case of real property, description must be the legal description for the property.) A copy of the refused document must be attached to this notice of refusal or the clerk cannot accept it for filing.
Signed: _______________________ Signed: ___________________________
County Clerk Aggrieved party or attorney for aggrieved party
___________ County, Oklahoma
Address:______________________
______________________________
Okla. Stat. tit. 19, § 267