Fill and Sign the Illinois 60 Day Notice Form

60 DAY NOTICE TO OWNER OF OWNER-OCCUPIED SINGLE FAMILY RESIDENCE- INDIVIDUAL SUBCONTRACTOR’S SIXTY (60) DAY NOTICE TO OWNER TO : ________________________________ Owner(s) ________________________________________ Street Address _______________________________________________________________________ _____________________________________________________________________ City/State/Zip Code You are hereby notifee that ___________________________ of __________________________ , City of _______________________ , County of __________________________ , State of Illinois (the "Subcontractor") has been employee by _____________________ of _____________________ , City of ____________________ , County of _________________ , State of Illinois (the "General Contractor") in oreer to perform the following work ane, or to proviee the materials hereinafter set forth: ______________________________________________________________________________ ______________________________________________________________________________ starting on ______________________ , at the property commonly known as _____________________________________________________________________________ , which is ownee ane occupiee by you. You are further notifee that the full contract price for saie work ane, or materials is ________________________ Dollars ($ ________________ . _____ ). _________________________ Signature _____ ____________________ Print or Type Name NOTICE TO OWNER The subcontractor providing this notice has performed work for or delivered material to your home improvement contractor. These services or materials are being used in the improvements to your residence and entitle the subcontractor to file a lien against your residence if the labor, services, material, fixtures, apparatus or machinery, forms or form work are not paid for by your home improvement contractor. A lien waiver will be provided to your contractor when the subcontractor is paid, and you are urged to request this waiver from your contractor when paying for your home improvements. DATE: _____ ________________________ BY : __________________________________________ Authorizee Ofcer, 60 Day Notice to Owner Page 1 of 2 SUBCONTRACTOR Certificate of Service I, _____________________________________, hereby certify that I have delivered this day a true and correct copy of the foregoing to ___________________________________ by: ( ) Personal Service ( ) Mailing a true and correct copy of same by certified U.S. mail, postage prepaid, return receipt requested to ___________________________. So certified this the ______ day of ___________________, 20____. ________________________ Signature 60 Day Notice to Owner Page 2 of 2