Intent To Lien Form Florida – Fill Out and Use This PDF

SUBCONTRACTOR NOTICE OF INTENTION TO FILE CLAIM FOR LIEN --

INDIVIDUAL

(§779.06(2), Wis. Stats.)

OWNER'S NAME: ___________________________________________________

OWNER'S ADDRESS: ___________________________________________________

_______________________________________________________________________

The undersigned Subcontractor, having contracted with __________________________,

(name of party with whom Subcontractor contracted) provided materials and/or labor for:

________________________________________________________________________

________________________________________________________________________

(describe work performed) to improve your property located at:

________________________________________________________________________

_______________________________________________________________________.

and, as of the date of this Notice, is owed the sum of $ ___________________________.

Notice is hereby provided that if payment in full is not received within thirty (30) days from the date of this Notice, the Subcontractor intends to file a Claim for Lien on your Property.

This is the ____ day of ___________________, 20___.

_____________________________

Signature

_____________________________

_____________________________

Address

Certificate of Delivery

I, _____________________________________, hereby certify that I have

delivered this day a true and correct copy of the foregoing to property owner

___________________________________ by:

() Mailing a true and correct copy of same by registered U.S. mail, postage prepaid, return receipt requested to ____________________________.

So certified this the ______ day of ___________________, 20____.

________________________

Signature