Preliminary Lien Notice Template printable pdf download

Preliminary Lien Notice Template

Preliminary Lien Notice

Please note that ______________________________________________________________.

Whose address is at: ___________________________________________________________

City: _________________________________

County: ______________________________

State: ________________________________

Zip: __________________________________

Has furnished or will furnish labor, service, equipment or material to the work of improvement

that is at the following location:

Address: ______________________________________________________________________

City: _________________________________

County: ______________________________

State: ________________________________

Zip: __________________________________

Work Tasks:

_____________________________________________________________________________

Signature

Date

The name and address of the person or business that contracted for the labor, services, and / or

equipment as listed above is:

Name: _______________________________

Address: _____________________________

City: _________________________________

County: ______________________________

State: _______________________________

Zip: _________________________________

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Preliminary Lien Notice Template