Fill and Sign the North Carolina Notice Subcontract Form

NOTICE OF SUBCONTRACT - INDIVIDUAL (N.C. Gen. Stat. § 44A-23(2)) (1) Name and address of the subcontractor: ________________________________________________________________________ _______________________________________________________________________ . (2) General description of the real property where labor was performed or the material was furnished (street address, tax map lot and block number, reference to recorded instrument, or any other description that reasonably identifies the real property): ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ . (3) (i) General description of the subcontractor’s contract, including the names of the parties thereto: ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ . (ii) General description of the labor and material performed and furnished thereunder: ________________________________________________________________________ _______________________________________________________________________ . (4) Request is hereby made by the undersigned subcontractor that he or she be notified in writing by the contractor of, and within five days following, each subsequent payment by the contractor to the first tier subcontractor for labor performed or material furnished at the improved real property within the above descriptions of such paragraph (2) and subparagraph (3) (ii), respectively, the date payment was made and the period for which payment is made. Dated: __________________ __________________________ Subcontractor Contractor _____ _____________________ Type or Print Name Notice of Subcontract Page 1 of 1