Notice To Owner / Notice To Contractor Form
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2Notice to Owner / Notice to Contractor
State of Florida
NOTICE SENT TO THE FOLLOWING:
CLAIMANT
(Name & Address)
[_____] PROPERTY OWNER
_____________________________________
(Name & Address)
_____________________________________
_____________________________________
_____________________________________
_____________________________________
Cert Mail No: _________________________
_____________________________________
Sent on _____/_____/20____
[_____] PRIME CONTRACTOR
Party who hired CLAIMANT (“HIRING PARTY”):
(Name & Address, if different from Claimant)
_____________________________________
[_____] Property Owner [_____] Prime Contractor
_____________________________________
_____________________________________
[_____] Hiring Contractor [_____] Other
Cert Mail No: _________________________
______________________
Sent on _____/_____/20____
[_____] HIRING CONTRACTOR
(Name &
PROPERTY where services were performed:
Address of party who hired claimant, if different from
(Give address and Legal Property Description)
other listed parties)
_____________________________________
_____________________________________
_____________________________________
Cert Mail No: _________________________
Sent on _____/_____/20____
[_____] CONSTRUCTION LENDER
(Name & Address, if any)
Description of Labor, Materials, Services, etc.
_____________________________________
provided to the Property by Claimant (“SERVICES”):
_____________________________________
_____________________________________
Cert Mail No: _________________________
Sent on _____/_____/20____
[_____] OTHER _______________________
(Name & Address, if any)
_____________________________________
_____________________________________
_____________________________________
Cert Mail No: _________________________
Sent on _____/_____/20____
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