Fill and Sign the Notice to Owner of Furnishing of Labor or Materials Individual Form

Notice to Owner of Furnishing of Labor or Materials Page 1 of 2 NOTICE TO OWNER OF FURNISHING OF LABOR OR MATERIALS -- INDIVIDUAL (N.H. Rev. Stat. § 447:5) [Name of Claimant] [Address of Claimant] To: [Name of Owner or Person in Charge of property] [Address of Owner or Person in Charge of property] To: [Name of Contractor] [Address of Contractor] COMES NOW, ______________________________, as a party who has provided labor and/or materials for the improvement of the property located at and described as ____________________________________________________________, and would state as follows: 1. The undersigned began will begin to furnish labor and/or materials for the improvement of the above described property on the ______ day of __________________, 20______. 2. Said labor and/or materials were furnished under agreement with a contractor or subcontractor of the property’s owner, namely, ______________________________. 3. The undersigned would further provide notice that the undersigned is entitled to a lien against the above-described property for the value of said labor and/or materials. This the ______ day of __________________, 20______. ___________________________ Signature ___________________________ Type or Print Name Notice to Owner of Furnishing of Labor or Materials Page 2 of 2 SERVICE (Name of Person or Entity Served) I, ______________________________, served the above document upon the person or entity named above in the manner set forth below (check one) OWNER CONTRACTOR PERSON IN CHARGE OF THE PROPERTY ; specify details: ____________________________________________________________ in the manner set forth below (process server must check proper space and provide all additional information that is requested and pertinent to the mode of service used): FIRST CLASS MAIL By mailing (by first class mail, postage prepaid), on ________________________. PERSONAL SERVICE. I personally delivered copies of the summons and complaint on the ______ day of __________________, 20______, to: ____________________________________, where I found said person(s) in __________________ County of the State of __________________. CERTIFIED MAIL SERVICE. By mailing, by first class mail, postage prepaid, requiring a return receipt) copies to the person served. Signature: Name: Address: