Notice to Owner Form

NOTICE TO OWNER CRS § 38-22-102(4)

Notice To:Property Owner






Sent to Property Owner Via Certified Mail No:


Party to whom or for whom the services or materials are being furnished:





Name and Mailing Address of Party Providing Notice (“Noticing Party”):



Description of Services or Materials Provided by Noticing Party:



Address Where Materials Delivered (“Property”):



The total amount of materials and/or services furnished or to be furnished to the project will be $_________________________. This amount was determined by:

[_____] Estimating amount to be provided

[_____] An agreed upon price.

This notice is provided to you as per CRS 38-22-102(4), and by sending this notice, the Noticing Party specifically pleads the benefits of this statute. The Noticing Party has or plans to furnish labor, services, material, equipment, and/or other construction performances on the Property for the principal contractor or other authorized party on your behalf.


Agent for Noticing Party

Signed by


Identification of Parties:

Noticing Party:






Hereinafter (“Noticing Party”)

Property Owner:







I, __________________________, declare that on the _____ day of _____________, 20____, I served copies of the Notice to Owner to the party listed above and identified as “Property Owner.” I served the Notice to Owner by First Class Certified or Registered Mail service, postage prepaid, with return receipt requested, addressed to the party at the above-identified address, which is the last known address of the Property Owner.

I declare under penalty of perjury that the foregoing is true and correct.

Sworn to and subscribed before me, Notary Public for the State of _______________ and Parish / County of ________________, on this ____ day of ____________, 20____.



Agent for Claimant

Signed by:


Over 680K documents sent by zlien
File this document now, or download & do it yourself.