Fill and Sign the Michigan Demand Form

DEMAND FOR STATEMENT OF LABOR AND MATERIAL FURNISHED-- INDIVIDUAL (M.S.A. § 570.1113(1)) COMES NOW, ___________________________________ , as owner, lessee, designee, or contractor, with an interest in the property undergoing improvements at _______________________________________________________________________ , and respectfully demands that the following lien claimants: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ within ten (10) days of the receipt of this request, provide to the undersigned a written statement of the following: 1. The amount of labor and material furnished as of the date the statement is issued, and 2. Any amount remaining due for the labor and material furnished, and 3. The contractual amount of any work remaining to be performed. NOTE: Failure to provide this information within ten (10) days of receipt of this request will result in the lien claimant becoming liable to the owner, lessee, or contractor, for all actual damages sustained due to the failure. In addition, the owner, lessee, or contractor, after the expiration of the 10-day period without receipt of the requested statement, shall not be required to honor a request for payment by the lien claimant until the statement has been received by the person who requested it. This the _____ day of ______________ , 20 ______ . ________________________ Signature _____ ___________________ Type or Print Name MI § 570.1113 Demand for Statement of Labor and Materials Furnished Page 1 of 1