Preliminary Notice

GEORGIA PRELIMINARY NOTICE PRELIMINARY NOTICE SENT IN ACCORDANCE WITH O.C.G. 44-14-361.5 THIS IS NOT A LIEN

Party providing labor, services, or materials (Notifying Party);

NAME:

ADDRESS:

 

TELEPHONE: (_______) _______-________

Party at whose instance the labor, services, or materials are being furnished;

 

 

Name of the Project and Location of the Project As set forth in the Notice of Commencement

 

 

A description of the labor, services, or materials being provided and, if known, the contract price or anticipated value of the labor, services, or materials to be provided or the amount claimed to be due, if any.

Description:

 

 

Contract Price or Anticipated Value:

DATED: ____ / ____ / ______

 

Agent for Notifying Party

Signed by:

Title:

PROOF OF SERVICE AFFIDAVIT

I, _______________, declare that on the _____ day of ___________________, 20_____, I served copies of the attached Preliminary Notice to the following:

[______]   Owner

 

 

 

[______]   Contractor

 

 

 

I served the attached document:

[______]   By Registered or Certified Mail, Parcel No.

[______]   By Overnight Mail, Parcel No

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

DATED: ____ / ____ / ______

 

Agent for Notifying Party

Signed by:

Title:

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