Preliminary Lien Notice Template (Page 2 of 3) in pdf

Preliminary Lien Notice Template Page 2

This preliminary lien notice is being served on the following persons and business entities at the

listed addresses:

[ ] Owner

Name: ________________________________________________________________________

Address: ______________________________________________________________________

[ ] Original Contractor

Name: ________________________________________________________________________

Address: ______________________________________________________________________

[ ] Construction Lender

Name: ________________________________________________________________________

Address: ______________________________________________________________________

[ ] Insurer

Name: ________________________________________________________________________

Address: ______________________________________________________________________

[ ] Trust

Name: ________________________________________________________________________

Address:_______________________________________________________________________

[ ] Subcontractor

Name: ________________________________________________________________________

Address: ______________________________________________________________________

The estimated price of the labor, services, equipment or materials described above is:

$______________________________

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Preliminary Lien Notice Template Page 2