Fill and Sign the Notice of Lien Claimed by Persons Other Form

Notice of Lien Claimed by Persons Other Page 1 of 2Than the Original Contractor – IndividualPrepared by: After Recording, Return to: (Full Name of Party) (Company, if applicable) (Street Address) (City, State and Zip Code) Notice of Lien Claimed by Persons Other Than the Original Contractor - Individual (Ala. Code. § 35-11-218) COMES NOW, , a party other than the original contractor who has performed labor are furnish material for the improvement of the property described as: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description: and would hereby provide notice of the following:1.The undersigned provided the following labor and that/or materials for the above described property: See Invoices/Statements Attached as Exhibit B incorporated by reference as though set forth in full Itemize labor and/or materials furnished: 2. The undersigned is entitled to and hereby provides notice that the undersigned will claim a lien in the amount of $ . Notice of Lien Claimed by Persons Other Page 2 of 2Than the Original Contractor – Individual3. Said lien amount is owed to the undersigned by: (Name) (Street Address) (City, County, State, Zip Code) THEREFORE, pursuant to Alabama Code § 35-11-218, after receipt of this Notice, any unpaid balance in the hands of the owner or proprietor shall be held subject to a lien in favor of the undersigned.Date: (Signature Lien Claimant) (Type or Print Name) (Street Address) (City, State, Zip Code) Certificate of Delivery I, , hereby certify that I have delivered this day a true and correct copy of the foregoing to by: Personal Service with signed receipt Mailing a true and correct copy of same by first-class U.S. mail, postage prepaid, return signed receipt requested to: (Name) (Street Address) (City, County, State, Zip Code) Other (specify) So certified this the day of , 20 . (Signature) (Type or Print Name)