Notice by Sub-Subcontractor

Notice by Supplier of Labor or Materials to A Subcontractor

PRIME CONTRACTOR (Name & Address of Prime Contractor)







SERVICES were or are to be supplied in the improvement and/or construction of real property described as follows (the “PROPERTY”):













NOTIFYING PARTY (Name & Address of Party Sending Notice)







HIRING PARTY (Name & Address of party who hired the NOTIFYING PARTY)






Services, labor, materials, equipment and/or work provided or to be provided by the Notifying Party (“SERVICES”):






THIS IS NOT A LIEN. THIS IS A NOTICE to advise you, the Prime Contractor, that the above-identified NOTIFYING PARTY is supplying the above-described SERVICES to the HIRING PARTY, who we understand to be your subcontractor on the project located at the above-described PROPERTY. The furnishing of such SERVICES has commenced within the past thirty (30) days. This notice is provided to you pursuant to Iowa Code Section 572.33.

Signed and dated this _________ day

of ____________________________, 20_______.


Express Lien, Inc., Agent for NOTIFYING PARTY

Signed by:




I, __________________________, being duly sworn, deposes and says that I am over the age of 18 years old, that this affidavit is made upon my own personal knowledge, and that on the ________ day of ________________________, 20________, I served the attached Notice by Supplier of Labor or Material to a Subcontractor 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 Mail service, return receipt requested, postage prepaid.

State of

County of

Sworn to and subscribed before me, undersigned Notary Public, on the date inscribed to the right of this verification.



Signed this ____ day

of _________________, 20____.


Agent for Notifying Party

Signed by


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