Fill and Sign the Promissory Note Form Fill Out and Sign Printable PDF

Notice of Intent to File LienPage 1 of 1 NOTICE OF INTENT TO FILE LIEN—Individual (Colorado Revised Statute §38-22-109(3)) Notice is hereby given that, __________________________________, whose address is _____________________________________________________________, ____________________, Colorado, _________________, performed labor, or provided materials or laborers for improvements to the property located at _____________________________________________________________________ and intends to file with the county clerk or recorder a lien statement regarding the above mentioned property and improvements ten (10) days from the date of service of this notice. This the _____ day of _______________, 20_____. _________________________ Signature_________________________Print or Type Name 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 registered or certified U.S. mail, postage prepaid, return receipt requested to ___________________________, who is the owner/owner's agent located at ______________________________________ and the principal or prime contractor/agent located at _______________________________.So certified this the ______ day of ___________________, 20____. ________________________Signature