Fill and Sign the Dispute Lien Form

DISPUTE OF CLAIM OF LIEN – INDIVIDUAL (§779.036(3), Wis. Stats.) COMES NOW, ___________________________________ as prime contractor or subcontractor and disputes the claim of lien for the performance, furnishing, or procuring of labor, services, materials, plans or specifications used or consumed in making the improvement to property located at ___________________________________________________________________ by ___________________________________ the lien claimant. The right to the lien and to the moneys due or to become due the undersigned shall be determined in an action brought by the claimant or the undersigned. If such action is not brought within thirty (30) days after service of written notice of the lienor’s claim upon the undersigned, the lien rights under §779.036, Wis. Stats are barred. _____________________________ Signature _____ ________________________ Type or Print Name Certificate of Delivery I, ___________________________________ , hereby certify that I have delivered this day a true and correct copy of the foregoing to property owner __________________________________ and lien claimant __________________________________ by: ( ) Personal Delivery ( ) Mailing a true and correct copy of same by registered U.S. mail, postage prepaid, return receipt requested to _________________________________ . So certified this the _____ day of _______________ , 20 ______ . ________________________ Signature Dispute of Claim of Lien Page 1 of 1