Fill and Sign the Connecticut Mechanics Form

NOTICE OF INTENT – INDIVIDUAL (Conn. Gen. Stat. § 49-35) COMES NOW, ________________________________ , as a party other than the original contractor, and other than a subcontractor working under a written contract with the original contractor, and would state as follows: 1. On or about the _____ day of ________________ , 20 _____ , the undersigned began furnishing materials or rendering services for the construction, raising, removal, or repair of a building or the development of a lot owned by ________________________________ . 2. Materials were furnished and services rendered for the improvement of the property described as: ________________________________________________________________________ _______________________________________________________________________ . 3. Notice is hereby given that the undersigned furnisher intends to claim a lien for the value of materials furnished and services rendered on the above-described property, 4. Pursuant to Conn. Gen. Stat. § 49-35, this Notice of Intent is provided after commencing, and not later than ninety (90) days after ceasing, to furnish materials or render services. This the _____ day of ______________ , 20 ______ . _________________________ Signature _____ ____________________ Print or Type Name Certificate of Delivery I, _____________________________________, hereby certify that I have delivered this day a true and attested copy of the foregoing to ___________________________________ by: ( ) Mailing a true and attested copy of same by registered or certified U.S. first class mail, postage prepaid, return receipt requested at his/her place of residence. ( ) Personal service at his/her usual place of abode. ________________________ Notice of Intent Page 1 of 2 Signature Notice of Intent Page 2 of 2