Fill and Sign the Indiana Notice Suit Form

Affidavit of Service of Notice to Commence Suit-Individual (I.C.A. § 32-28-3-10) State of Indiana County of ____________________ COMES NOW, ___________________________________ , and pursuant to Indiana Code Annotated § 32-28-3-10 would state as follows: 1. The undersigned is either the owner or a party with an interest in the property located at: Street Address: ________________________________________________ Legal Description:       2. On or about the ______ day of ______________ , 20 ______ , a lien was filed against the above-mentioned property by ________________________________________________ . 3. On or about the       day of ______________ , 20 _____ the undersigned provided notice to the lien holder, via either certified or registered mail, to commence suit in this matter within thirty (30) days of receiving the notice or have the lien held to be null and void. 4. The time within which the lien claimant could have foreclosed on said lien has now expired, and no suit for foreclosure of said lien is pending, and no unsatisfied judgment has been rendered on said lien. __________________________ Signature _____ _____________________ Type or Print Name STATE OF INDIANA ,       County, ss: Before me, the undersigned, a Notary Public in and for said County and State, personally appeared the within named       , Affidavit of Service of Notice to Commence Suit Page 1 of 2 who acknowledged the execution of the foregoing AFFIDAVIT OF SERVICE OF NOTICE TO COMMENCE SUIT and who, being duly sworn, stated that the representations therein contained are true. Witness my hand and       Seal this       day of       , 20       . Notary Public. Resident of       County. My Commission expires       , 20       This Instrument was prepared by:                   Affirmation Statement I affirm, under the penalties for perjury, that I have taken reasonable care to redact each Social Security number in this document, unless required by law. Signature       Print or Type Name Signature       Print or Type Name Affidavit of Service of Notice to Commence Suit Page 2 of 2