Notice of Intent to Lien

NOTICE OF INTENT TO LIEN

Conn. G.S. § 49-35

Notice Delivered To:  (Name and Address)

 

 

 

 

 

 

 

 

 

 

 

 

Notifying Party:  (Name and Address)

 

 

 

Hiring Party:  (Name and Address)

 

 

 

Services:  Description of services, materials, and/or labor provided by Notifying Party to the below identified Project:

 

Amount Due:  The amount which is justly due nearly as the same can be ascertained: $_________________

The Property where Services provided:

State of Connecticut, County of

Address:

Legal Description:

 

 

 

 

[THIS SPACE INTENTIONALLY LEFT BLANK. PLEASE SEE SUBSEQUENT PAGE]

© 2014 Express Lien, Inc. dba Zlien

If the party that has given you this notice is not paid in full for labor, service, equipment, or material provided, or to be provided, to your construction project, a lien may lead to loss of all or part of your property, and/or other significant legal consequences.

NOTICE IS HEREBY GIVEN to the above identified "Notice Provided To" parties, who have the role as identified therein, that the Notifying Party, [*client_company_name*] has commenced to and has provided materials or services relating to the improvement and construction of the premises identified above as the Pro perty, and that said Notifying Party intends to claim a lien on said land, premises, buildings and structures.

 

 

 

 

 

 

 

 

 

 

 

 

 

Signed:

 

 

The Notifying Party

Company:

Signed by:

Title:

Date:

© 2014 Express Lien, Inc. dba Zlien
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