Fill and Sign the Ar Lien Form

Important Notice Page 1 of 1 IMPORTANT NOTICE I UNDERSTAND THAT PERSONS SUPPLYING MATERIAL ARE ENTITLED TO A LIEN AGAINST PROPERTY IF THEY ARE NOT PAID IN FULL FOR MATERI ALS USED TO IMPROVE THE PROPERTY EVEN THOUGH THE FULL CONTRACT PRICE MAY H AVE BEEN PAID TO THE CONTRACTOR. I REALIZE THAT THIS LIEN CAN BE ENFORCED BY THE SALE OF THE PROPERTY IF NECESSARY. I AM ALSO AWARE THAT PAYMENT MAY BE WITHHELD TO THE CONTRACTOR IN THE AMOUNT OF THE COST OF ANY MATERIALS OR LABOR NOT PAID FOR. I KNOW THAT IT IS ADVISABLE TO, AND I MAY, REQUIRE THE CONTRACTORS TO FURNISH TO ME A TRUE AND CORRECT FULL LIST OF ALL OF HIS SUPPLIERS UNDER THE CONTRACT, AND I MAY CHECK WITH THEM TO DETERMINE IF ALL MATERIALS FURNISHED FOR THE PROPERTY HAVE BEEN PAID FOR . I MAY ALSO REQUIRE THE CONTRACTOR TO PRESENT LIEN WAIVERS BY ALL SUPPLIERS STATING THAT THEY HAVE BEEN PAID IN FULL FOR SUPPLIES PROVIDED UNDER THE CONTRACT, BEFORE I PAY THE CONTRACTOR IN FULL. I, THE UNDERSIGNED OWNER OR AUTHORIZED AGENT OF THE OWNER, HEREBY ACKNOWLEDGE RECEIPT OF THIS NOTICE AND, HAVING READ IT, A M ADVISED O F ITS CONTENTS. SIGNED: ____________________________________ _____ ____________________ ___________ PRINT OR TYPE NAME _____ ____________________ ___________ ______________________________ ______ ADDRESS OF PROPERTY Date: _____________ I HEREBY CERTIFY THAT THE SIGNATURE ABOVE IS THAT OF THE OWNER OR AGENT OF THE OWNERS OF THE PROPERTY AT THE ADDRESS SET OUT ABOVE. ___________________________________ CONTRACTOR _____ ______________________________ TYPE OR PRINT NAME