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Fill and Sign the Health Care Power of Attorney Indiana Form Fill Out and

Fill and Sign the Health Care Power of Attorney Indiana Form Fill Out and

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Demand for List of Labor and Materials Page 1 of 1 DEMAND FOR LIST OF LABOR AND MATERIALS – INDIVIDUAL (Or. Rev. Stat. § 87.027) COMES NOW, _________________________________, as the owner of the property undergoing improvement located at and described as _________________________________________________________________________________________________________________________, and would state as follows:1.On or about the _____ day of _______________ , 20______, the undersigned received a Notice of Right to a Lien from _________________________________.2. Pursuant to Ok. Rev. Stat. § 87.027 the undersigned property owner hereby demands that the above named lien claimant provide, within fifteen (15) business days, a list of materials or equipment or a description of labor or services supplied, or a statement of the contractual basis for supplying the materials, equipment, services or labor, including the percentage of the contract completed and the charge therefore to the date of the demand. 3.NOTICE: Failure to furnish the requested information may result in the lien claimant forfeiting attorney’s fees and other costs allowable in a suit to foreclose on said lien. This the _____ day of ________________, 20 ______. _________________________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 ___________________________________ by:( )Mailing a true and correct copy of same by certified or registered U.S. mail, postage prepaid, return receipt requested.So certified this the ______ day of ___________________, 20____. ________________________Signature

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