Fill and Sign the Ct Corporation Llc 497301003 Form

NOTICE OF INTENT – CORPORATION or LLC (Conn. Gen. Stat. § 49-35) COMES NOW, _________________________________ , as a representative of ________________________________ , a _________________________________ corporation or limited liability company, 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 _____ . ________________________________ Name of Company By: _________________________________ _____ Signature Title ________________________________ Type or Print 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. Notice of Intent Page 1 of 2 ( ) Personal service at his/her usual place of abode. ________________________ Signature Notice of Intent Page 2 of 2