SUBCONTRACTOR NOTICE OF INTENTION TO FILE CLAIM FOR LIEN -INDIVIDUAL
(§779.06(2), Wis. Stats.)
OWNER'S NAME: ___________________________________________________
OWNER'S ADDRESS: ___________________________________________________
_______________________________________________________________________
The undersigned Subcontractor, having contracted with __________________________,
(name of party with whom Subcontractor contracted) provided materials and/or labor for:
________________________________________________________________________
________________________________________________________________________
(describe work performed) to improve your property located at:
________________________________________________________________________
_______________________________________________________________________.
and, as of the date of this Notice, is owed the sum of $ ___________________________.
Notice is hereby provided that if payment in full is not received within thirty (30) days
from the date of this Notice, the Subcontractor intends to file a Claim for Lien on your
Property.
This is the ____ day of ___________________, 20___.
_____________________________
Signature
_____________________________
_____________________________
Address
Certificate of Delivery
I, _____________________________________, hereby certify that I have
delivered this day a true and correct copy of the foregoing to property owner
___________________________________ by:
( )
Personal Delivery
( )
Mailing a true and correct copy of same by registered U.S. mail, postage
prepaid, return receipt requested to ____________________________.
So certified this the ______ day of ___________________, 20____.
________________________
Signature