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    Notice of Intent To File Lien or Claim

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    nujahm1639
    This document is a Notice of Intent to File a Lien or Claim regarding work done on the [Project Name] in Austin, Texas. It is addressed to the owner, general contractor, lien or stop notice claimant, lender/surety, and subcontractor. It states that [Company Name] intends to file a claim of lien for unpaid Invoice #s totaling $XXX, including interest at XX% per annum, unless payment is received by a specified date. It includes signatures for a representative of [Company Name] and notary, as well as a proof of service affidavit stating the notice was mailed by a certain date.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Notice of Intent To File Lien or Claim

    Uploaded by

    nujahm1639
    570 views2 pages
    This document is a Notice of Intent to File a Lien or Claim regarding work done on the [Project Name] in Austin, Texas. It is addressed to the owner, general contractor, lien or stop notice claimant, lender/surety, and subcontractor. It states that [Company Name] intends to file a claim of lien for unpaid Invoice #s totaling $XXX, including interest at XX% per annum, unless payment is received by a specified date. It includes signatures for a representative of [Company Name] and notary, as well as a proof of service affidavit stating the notice was mailed by a certain date.

    Original Description:

    lien claim form useful in Texas to pursue lien or claim.

    Original Title

    notice of intent to file lien or claim

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    This document is a Notice of Intent to File a Lien or Claim regarding work done on the [Project Name] in Austin, Texas. It is addressed to the owner, general contractor, lien or stop notice claimant, lender/surety, and subcontractor. It states that [Company Name] intends to file a claim of lien for unpaid Invoice #s totaling $XXX, including interest at XX% per annum, unless payment is received by a specified date. It includes signatures for a representative of [Company Name] and notary, as well as a proof of service affidavit stating the notice was mailed by a certain date.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    570 views2 pages

    Notice of Intent To File Lien or Claim

    Uploaded by

    nujahm1639
    This document is a Notice of Intent to File a Lien or Claim regarding work done on the [Project Name] in Austin, Texas. It is addressed to the owner, general contractor, lien or stop notice claimant, lender/surety, and subcontractor. It states that [Company Name] intends to file a claim of lien for unpaid Invoice #s totaling $XXX, including interest at XX% per annum, unless payment is received by a specified date. It includes signatures for a representative of [Company Name] and notary, as well as a proof of service affidavit stating the notice was mailed by a certain date.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    You are on page 1of 2

    NOTICE OF INTENT TO FILE A LIEN OR A CLAIM

    TO: OWNER OR PUBLIC ENTITY TO: GENERAL CONTRACTOR


    Certified Mail # _________________ Certified Mail # _______________

    City of Austin Name of Contractor


    Public Works & Transportation Address
    Contract Administration City, State Zip Code
    One Texas Center, Suite 1045
    505 Barton Springs Rd
    Austin, Texas 78704

    TO: LIEN OR STOP NOTICE CLAIMANT TO: LENDER, SURETY OR BOND


    COMPANY
    Certified Mail # __________________ Certified Mail # _______________

    Company of Texas Name of Surety


    Address Attn.: Agent’s Name
    City, State, Zip Code Address
    City, State, Zip Code
    Ref. Bond #’s_________________

    TO: SUBCONTRACTOR
    Certified Mail # ___________________

    Name of Subcontractor
    Attn.: Contact Person
    Address
    City, State Zip Code

    The undersigned claimant, _________________________________ , intends to file a claim of lien against the
    (Your Firm's Name)
    building, erection or improvement described as the ________________________________________ , Austin,
    (Name of Project)
    Travis County, Texas. The specific contract information is for our Job/Invoice #s: _______________________
    (Invoice #s)

    The amount is due from ______________________________________________.


    (Name of General Contractor)

    The amount due is __________, including service charges or interest at the rate of _____ per annum.

    Unless we receive payment by ________________________________ a claim may be filed.


    (Day, Month, Year)

    Dated _________ for: Representative’s Name


    Address
    City, State Zip Code
    Telephone ___________ Fax _________________

    By: ____________________________
    Financial Services Representative (continued on next page)

    Notice of Intent to File a Lien or a Claim Issue/Review Date: June 11, 2007
    THE STATE OF TEXAS §

    COUNTY OF TRAVIS §

    SUBSCRIBED AND SWORN TO BEFORE ME by ____________________, Financial Services Representative,


    (Representative’s Name)
    ____________________________, this ____________________________.
    (Name of your firm) (Day, Month, Year)

    __________________________________________
    Notary Public

    PROOF OF SERVICE BY MAIL AFFIDAVIT

    I declare that I served a copy of the above notice and any related documents, by first-class mail, registered and

    return receipt requested (as required by law), addressed to the aforementioned parties on __________. I declare
    (MM/DD/YY)
    under penalty of perjury that the foregoing is true and correct. Executed at

    ____________________________________ .
    (City, County, Texas on Date)

    BY: ______________________________________
    Financial Services Secretary

    Notice of Intent to File a Lien or a Claim Issue/Review Date: June 11, 2007

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