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Fill and Sign the How to Contest a Lien Form

Fill and Sign the How to Contest a Lien Form

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Notice of Contest of Lien To: Lienholder _____________________________________________________ Street Address or Post Office Box _____________________________________ _________________________________________ City, state, and zip code ______________________________________________ _________________________________________ You are hereby notified that the undersigned contests the Claim of Lien which you caused to be filed on __________________________ (date) and recorded in Book _____ at Page _____ in the office of the _______________________________________ ________________________________________________________________________ _____________________________ (County official’s name, address, and office where such liens are recorded) . According to ________________________ (cite state statute), the time within which you may file suit is limited to _____ days from the date of service of this Notice. Witness my signature this the ____, day of ________________________, 20___. ____________________________________ Contestor STATE OF ______________________________________________ COUNTY OF _____________________________________ Personally appeared before me, the undersigned authority in and for the said County and State, on this ____ day of ________________________________, 20___, within my jurisdiction, the within-named _____________________________________________________ (Contestor), who acknowledged that he executed the above and foregoing instrument. ___________________________________ NOTARY PUBLIC My Commission Expires: ______________________ STATE OF ______________________________________________ COUNTY OF ____________________________________ I certify that a certified copy of this Notice of Contest of Lien has been mailed to: ________________________________________________________ (Lienholder), President of _____________________________________________________________ (Company), by Certified Mail, return receipt requested on _________________________ _________________ (date) . ____________________________________ ____________________________________ County Clerk’s Name and Office By: _________________________ Deputy Clerk

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