Fill and Sign the Notice of Furnishing Corporation or Llc Michigan Form

NOTICE OF FURNISHING-CORPORATION (M.S.A. §570.1109) To: _______________________________ (Name of designee or owner or agent from Notice of Commencement) Address: ________________________________________________________________________ (From Notice of Commencement) Please take notice that the undersigned is furnishing to ________________________________________________________________________ (Name and address of other contracting party) certain labor or material for ___________________________________ (Describe type of work) in connection with the improvements to the real property described in the Notice of Commencement recorded in liber _____________ , on page _______ , ________________ County records. WARNING TO OWNER: THIS NOTICE IS REQUIRED BY THE MICHIGAN CONSTRUCTION LIEN ACT. IF YOU HAVE QUESTIONS ABOUT YOUR RIGHTS AND DUTIES UNDER THIS ACT, YOU SHOULD CONTACT AN ATTORNEY TO PROTECT YOU FROM THE POSSIBILITY OF PAYING TWICE FOR THE IMPROVEMENTS TO YOUR PROPERTY. This the _____ day of _______________ , 20 ______ . _____________________________ _____________________________ Name and Address of Corporation ______________________________ Name and Capacity of Party Signing _____ _________________________ Type or Print Name _____ _________________________ Address of Party Signing Notice of Furnishing Page 1 of 3 PROOF OF SERVICE OF NOTICE OF FURNISHING State of Michigan County of ____________________ ________________________________, a person of suitable age and discretion, as the duly authorized agent for___________________________ a ______________________ corporation, being first duly sworn in accordance with the law, deposes and says: That on the ____ day of ______________, 20___, a Notice of Furnishing (a true and exact copy of which is attached hereto) by U.S. Certified Mail and with postage fully prepaid thereon to the following person(s) with the certified number as indicated: Addressees/ Address Certified Number Designee/Contractor ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ OR That on the ____ day of __________, 20____, the undersigned personally served a true copy of a Notice of Furnishing (a true and exact copy of which is attached hereto) upon the following person(s) by handing said true copy of said Notice of Furnishing to _________________________________ personally Addressees/ Address Designee/Contractor ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ____________________________ Signature Notice of Furnishing Page 2 of 3 Subscribed and sworn to by _______________________ before me on the ___ day of 20____ . Signature: ___________________________ Printed Name: _______________________ Notary public, State of Michigan, County of ______ My commission expires______________________ Notice of Furnishing Page 3 of 3