Mechanics Lien Release
NOTICE TO CONTRACTOR
O.C.G.A. § 13-10-63 (a)(2)
This is not a lien
Notice Sent to:
Prime Contractor: (Name & Address)
Name & Address of the party who contracted the party providing this notice.
Name and geographical location of the public improvement for which the labor or materials supplied:
Notice Sent by:
Notifying Party: (Name & Address of party providing labor, materials, equipment, or services)
Description of labor or materials furnished to the Hiring Party:
Anticipated Value of Services or Contact Price:
In a ccordance with O.C.G.A. § 13 - 10 - 63(a)(2), the Notifying Party provides the prime contractor this notice. YOU ARE HEREBY NOTIFIED that the Notifying Party has been hired by the Hiring Party to provide the above - described Services to the above - identified Improvement. Th e anticipated value of the Services, or the contract price is above - identified as the Anticipated Value.
In the event the Notifying Party is not paid for the Services, the Notifying Party herein reserves its rights to assert a claim against the payment bo nd or security deposit on the project. This is not a lien.
Please further accept this Notice to Contractor to Make Claim Against Contractor, and Payment Bond or Security Deposit, as a formal demand that you provide to the Claimant the follow i ng: ( i) a ny Notice of Commencement filed for this project; and (ii) a copy of the payment bond for this project. This demand is being made pursuant to O.C.G.A. § 13 - 10 - 1.
Please deliver these materials to the Claimant at the following address:
Agent for Claimant
Proof of service Affidavit
I, __________________________, being duly sworn , deposes and says that I am over the age of 18 years old, and that on the _____ day of _____________, 20____, I served the attached Notice to Contractor to the following parties at these stated addresses:
[______] Prime Contractor
I served the attached document:
[______] By personally delivering the notice to the identified parties;
[______] By First Class Certified or Registered Mail service, return receipt requested, postage prepaid.
Sworn to and subscribed before me, undersigned Notary Public, on the date inscribed to th e right of this verification.
Signed this ____ day of_________________, 20____.
Agent for Claimant