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Fill and Sign the Kansas Llc 497307404 Form

Fill and Sign the Kansas Llc 497307404 Form

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WARNING TO RESIDENTIAL OWNER—CORPORATION (Kan. Stat. Ann. § 60-1103a.) TO: OWNER: __________________________________ ADDRESS: __________________________________ Notice to owner : ________________________________ (name of supplier or subcontractor) is a supplier or subcontractor providing materials or labor on Job No. _______________ at ____________________________________________________ (residence address) under an agreement with _______________________________ (name of contractor). Kansas law will allow this supplier or subcontractor to file a lien against your property for materials or labor not paid for by your contractor unless you have a waiver of lien signed by this supplier or subcontractor. If you receive a notice of filing of a lien statement by this supplier or subcontractor, you may withhold from your contractor the amount claimed until the dispute is settled. This the _____ day of _____________ , 20 ______ . ______________________________ Signature _____ _________________________ Type or Print Name _____ _________________________ Title _____ _________________________ Corporation KS § 60-1103a(c) Warning to Residential Owner Page 1 of 1

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