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Fill and Sign the Ohio Revised Code Form

Fill and Sign the Ohio Revised Code Form

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Open the document and fill out all its fields.
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Notice of Furnishing – Individual Page 1 of 2 NOTICE OF FURNISHING- INDIVIDUAL (Ohio Revised Code Section 1311.05) TO: ______________________________________________________________________________ __________________________________________________________________________________________________________________________________________ (Name of Owner, Part Owner or Lessee or Designee and Address from Notice of Commencement) TO: ______________________________________________________________________________ __________________________________________________________________________________________________________________________________________ (Name of Original Contractor and Address from Notice of Commencement) Please take notice that the undersigned is performing certain labor or work or furnishing certain materials to ________________________________________________________________________________________________________________________________________________ (Name and Address of other contracting party) in connection with the improvement to the real property located at _______________________________________________________________________. The labor work or materials were performed or furnished first or will be performed or furnished first on ______________. (Date) WARNING TO OWNER: THIS NOTICE IS REQUIRED BY THE OHIO MECHANIC’S LIEN LAW. IF YOU HAVE ANY QUESTIONS ABOUT YOUR RIGHTS AND DUTIES UNDER THESE STATUTES, YOU SHOULD SEEK LEGAL ASSISTANCE TO PROTECT YOU FROM THE POSSIBILITY OF PAYING TWICE FOR THE IMPROVEMENTS TO YOUR PROPERTY. Notice of Furnishing – Individual Page 2 of 2 Date:_______________________ ______________________________ (Name of Lien Claimant) ______________________________ (Address of Lien Claimant) By: _____________________________________ (Name and Capacity of party signing for Lien Claimant) ______________________________ (Type or Print Name) ______________________________________ (Address of Party signing) *If no Designee is named in the Notice of Commencement, or the Designee has died, or otherwise has ceased to exist, serve this Notice on the Owner, Part Owner or Lessee named. Notice of Furnishing is required to be provided to the Original Contractor, if any, as named in the Notice of Commencement.This Instrument was prepared by: Signature Print or Type Name

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