Fill and Sign the Pa Title 49 Form

Notice to Contractor of Claim -- Corporation (Pa. Stat. Ann. tit 49, § 1506(b) and 1602) COMES NOW, __________________________________ , as the representative of __________________________________ a _________________________________ corporation, which is the owner of the property undergoing alteration, repair, erection, or construction of the property located at and described as ______________________________________________________________________ , and would state as follows : 1. On or about the       day of _____________ , 20       , labor and/or materials began to be provided for the alteration, repair, erection, or construction of the above described property by subcontractor, ___________________________________ , under agreement with the project’s contractor, __________________________________ . 2. The above named subcontractor provided the owner of the above-described property with either a notice of intent to file a lien or a notice of the filing of a lien claim on or about the       day of ________________ , 20       in the amount of $ _____________ , and the undersigned has withheld funds in the amount of $ _____________ , if any. 3. Pursuant to Pennsylvania Statute Annotated Title 49, Section 1602(b), the undersigned hereby provides notice that unless the contractor, within thirty (30) days from service of this notice, settles, undertakes to defend, or secures against this claim, the owner may avail himself of remedies provided by Pennsylvania Law, including: A. Paying the claim of the subcontractor, upon which payment the owner shall be subrogated to the rights of the subcontractor against the contractor together with any instrument or other collateral security held by the subcontractor for the payment thereof; or B. Undertaking a defense against said claim in which case the contractor shall be liable to the owner for all costs, expenses and charges incurred in such defense, including reasonable attorneys' fees. This the       day of _____________ , 20       . _________________________________ Signature _____ ____________________________ Type or Print Name       Title       Corporation Notice to Contractor of Claim Page 1 of 2 Certificate of Delivery I, __________________________________ , hereby certify that I have delivered this day a true and correct copy of the foregoing to __________________________________ by: Personal Service Mailing a true and correct copy of same by first class registered or certified U.S. mail, postage prepaid, return receipt requested to __________________________________ . So certified this the _____ day of ________________ , 20 ______ . ________________________ Signature Notice to Contractor of Claim Page 2 of 2