Notice Of Intention To File A Mechanics Lien

TO: [name of owner] _____________________
[address] ______________________________

Notice is hereby given that the undersigned, [name] ___________________ intends to file a mechanic's lien for [amount] _______________ Dollars($ ________ ), on real property owned by you and commonly known as [street address] ___________________________________ . The legal for said property is as follows: _____________________________

The filing of said lien, pursuant to [cite statute] _________________________ , is for the purpose of securing payment of amounts due for[services] ___________________________ performed by the undersigned within the last[number] ___________ days, in accordance with the [written or oral] __________________ agreement entered into on [date] ____________________ between you and the undersigned.

Date ________________

__________________________

[Signature]