Fill and Sign the Owners Request for Lien Information Individual Alabama

Request for Lien Information - Individual (Ala. Code. § 35-11-219) COMES NOW ,       , as the owner or proprietor of the property undergoing improvements at:       (Street Address)       and would hereby request that the original (City, State, Zip Code) contractor,       , provide a complete list of the following: 1. All material men, laborers, and employees have furnished any material or performed any service, or 2. Who may be under any contract or engagement to furnish any material, or to do or perform any service for such contract for or on such building or improvement, 3. With the terms and price thereof. NOTICE : Failure to furnish requested information, or to pay any material man, subcontractor, laborer, or employee, may result in the forfeiture of any right to liens under Alabama statute. Date:       (Signature Lien Claimant)       (Type or P rint 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, State, Zip Code) Other (specify)       So certified this the       day of       , 20       . (Signature)       (Type or Print Name) Request for Lien Information Page 1 of 1