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Fill and Sign the Affidavit of Service of Mechanics Lien Statement by Certified Mail Form 4042 Minnesota

Fill and Sign the Affidavit of Service of Mechanics Lien Statement by Certified Mail Form 4042 Minnesota

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FORM No. 79.2-M - Uniform Conveyancing Blanks MECHANIC'S LIEN STATEMENT--AFFIDAVIT OF SERVICE OF BY CERTIFIED MAIL STATE OF MINNESOTA ) ) ss. COUNTY OF _____________ ) _____________________________________________, being duly sworn on oath, says: 1. On the _____ day of _________, 20 _____, __he served the attached Mechanic's Lien Statement personally upon _______________ who according to the best information then had, was (check all applicable):  the owner  the owner's authorized agent; or  the person who entered into the contract with the contractor. 2. Service was made by mailing a copy by certifed mail addressed as follows: which was the last known address of said person. ___________________________________________________ Signature Subscribed and sworn to before me this ________ day of __________________, 20 _____ . ___________________________________________________ SIGNATURE OF NOTARY PUBLIC OR OTHER OFFICIAL NOTARIAL STAMP OR SEAL (OR OTHER TITLE OR RANK): - 1 -

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