Notice Of Intent To File A Lien Or Claim

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NOTICE OF INTENT TO FILE A LIEN OR A CLAIM
TO:
OWNER OR PUBLIC ENTITY
TO: GENERAL CONTRACTOR
Certified Mail # _________________
Certified Mail # _______________
City of Austin
Name of Contractor
Public Works & Transportation
Address
Contract Administration
City, State Zip Code
One Texas Center, Suite 1045
505 Barton Springs Rd
Austin, Texas 78704
TO:
LIEN OR STOP NOTICE CLAIMANT
TO: LENDER, SURETY OR BOND
COMPANY
Certified Mail # __________________
Certified Mail # _______________
Company of Texas
Name of Surety
Address
Attn.: Agent’s Name
City, State, Zip Code
Address
City, State, Zip Code
Ref. Bond #’s_________________
TO:
SUBCONTRACTOR
Certified Mail # ___________________
Name of Subcontractor
Attn.: Contact Person
Address
City, State Zip Code
The undersigned claimant, _________________________________ , intends to file a claim of lien against the
(Your Firm's Name)
building, erection or improvement described as the ________________________________________ , Austin,
(Name of Project)
Travis County, Texas. The specific contract information is for our Job/Invoice #s: _______________________
(Invoice #s)
The amount is due from ______________________________________________.
(Name of General Contractor)
The amount due is __________, including service charges or interest at the rate of _____ per annum.
Unless we receive payment by ________________________________ a claim may be filed.
(Day, Month, Year)
Dated _________ for: Representative’s Name
Address
City, State Zip Code
Telephone ___________
Fax _________________
By: ____________________________
Financial Services Representative
(continued on next page)
Notice of Intent to File a Lien or a Claim
Issue/Review Date: June 11, 2007

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