20-Day Preliminary Notice

20-DAY PRELIMINARY NOTICE (For use on private work and public work) (To be used by suppliers, subcontractors, architects, engineers and other non-contractors) Person Furnishing Labor, Services, Equipment or Material: (Name) (Address) (City, State, Zip) Description of Labor, Services, Equipment or Material Supplied, or to be Supplied: (General Description of Labor, Services, Equipment or Material to be Supplied) The Above Furnished To: To Owner, Reputed Owner, Or Public Agency: (Name of Person Who Contracted For Labor, Etc.) (Name) (Address of Person Who Contracted For Labor, Etc.) (Address) (Address of Job Site) (City, State, Zip) Construction Loan No. (if known) Dollar Amount Must be Furnished to Construction Lender- Optional as to Owner or Contractor ) An estimate of the total price of the labor, services, equipment or materials furnished or to be furnished is To Construction Lender Or Ruputed Construction Lender (Name) (Address) (Name) (City, State, Zip) (Name) Note: This is NOT a lien on your property but a notice require by law to alert you to the possibility of liens being filed in the future if all parties who furnish labor and materials to your job are not paid in full (Name) Trust Funds to which Supplemental Fringe Benefits are Payable (Address) (Address) (Address) Person Furnishing Labor, Services, Equipment or Material: (Name) (Address) (City, State, Zip) NOTICE TO PROPERTY OWNER If bills are not paid in full for the labor, services, equipment, or materials furnished or to be furnished, a mechanic's lien hearing to the loss, through court foreclosure proceedings, of all or part of your property even though you have paid your contractor in full. You may wish to protect yourself against this consequence by: 1.) Requiring your contractor to furnish a signed release by the person or firm giving you this notice before making payment to your contractor or 2.) Any other method or device which is appropriate under the circumstances. PROOF OF SERVICE AFFIDAVIT I, appropriate box) (a) By personally delivering copies to (address) (date), at (time). declare that I served copies of the above Preliminary Notice (check (name and title of person served) at on (b) on (Date) By First Class Certified or Registered Mail service, postage prepaid, addressed to each of the parties at the address shown above , 19 (Attach receipts of Certified or registered mail when returned) I declare under penalty of perjury that the foregoing is true and correct. Signed at (Date) , on , 19 2001 © American LegalNet, Inc. American LegalNet, Inc. www.FormsWorkFlow.com