Notice of Intent to Lien Form
NOTICE OF INTENT TO LIEN
THIS IS NOT A LIEN
Address Where Materials Delivered (“Property”):
Certified Mail No:
Name and Mailing Address of Party Providing
Notice and Selling Materials (“Noticing Party”):
Description of Services or Materials Provided:
Total Amount Owed to Notifying Party (“Debt”):
The notice is provided to inform you that the Notifying Party has provided the above-described materials and/or services to the Property, and that payment for these services and/or materials, the “Debt,” is due and owing to the Notifying Party.
This is a notice to you that the Notifying Party is owed the Debt, and that payment has not been made to the Notifying Party on the Debt.
If payment is not made to the Notifying Party, a Claim of Lien, commonly referred to as a Mechanics Lien, will be filed against the Property in ten (10) days after delivery of this notice as per California Statutes.
, agent for Noticing Party