Fill and Sign the Notice Furnishing Form 481374277

Notice of Furnishing Page 1 of 1 Notice of Furnishing – Corporation (S.C. Code Ann. §29-5-20) COMES NOW, _______________________________________, as a representative of ____________________________________ a ____________________________________ corporate subcontractor or supplier who has supplied labor, material, or services for the improvement of the property located at and described as _______________________________________________________________________________________________________________________________________________, and would provide notice of the following: 1. The undersigned subcontractor or supplier was employed by or contracted with __________________________________, to provide labor and/or materials for the improvement of the above described property. 2. The following labor, services, or materials have been furnished by the undersigned: labor/services/materials cost/value ________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________. 3. The undersigned is due sum of $ __________________ for said furnishing. 4. Said labor, services, or materials were first furnished on the _____ day of ______________, 20______, and were last furnished on the _____ day of ______________, 20______. This the _____ day of ______________, 20______. _____________________________ Signature_____________________________ Type or Print Name_____________________________ Title_____________________________ Corporation