Fill and Sign the Michigan Notice Form

Request for Copy of Notice of Commencement Page 1 of 2 REQUEST FOR COPY OF NOTICE OF COMMENCEMENT --CORPORATION (M.S.A. § 570.1108(5) -(7)) COME S NOW, _________________________________ , as a representative of _________________________________ a _______ ___________________________ corporation act ing as a subcontractor, supplier, or laborer, which has provided an improvement to the real property located at _______________________________________________________________________ , and having provided this request via certified mail, would state the following: 1. Michigan statutes require that within ten (10) days from the date of mailing of this Request, the contractor, subcontractor, owner, lessee, or owner’s designee, who is the recipient of this request shall provide a copy of the Notice of Commencement along with a blank Notice of Furnishing to the undersigned subcontractor, supplier, or laborer, at the following address: _______________________________________________________________________ . 2. Failure to provide a copy of the Notice of Commencement per this request shall serve to extend the time within which a subcontractor or supplier may provide a notice of furnish ing until twenty (20) days after the Notice of Commencement has been received by the subcontractor or supplier, and the time within which a laborer may provide a Notice of Furnishing to thirty (30) days after the Notice of Commencement has been received by the laborer, or until the time within which to provide the Notice of Furnishing expires, whichever is later. THIS the _____ day of _______________ , 20 ______ . Signature: __________________________ Request for Copy of Notice of Commencement Page 2 of 2 Type or Print Name: _____ ______________ Title: _____ _________________________ Corporation: _____ ___________________ CERTIFICATE I, ___________________________________ , certify that I have this day mailed a true and correct copy of the foregoing Written Request for Copy of Notice of Commencement to ___________ _______________________ at the following address: ______________________________________________________________________ by Certified U.S. Mail, postage pre -paid. THIS the ______ day of _____________ , 20 _____ . ___________________ ___________ Signature MI § 570.1108