Fill and Sign the South Dakota Notice 497326137 Form

Notice of Dispute of Claim – Individual (S.D. Codified Laws Ann. §44-9-11) COMES NOW, ___________________________________ , as a contractor providing labor and/or materials for the improvement of the property located at and described as ________________________________________________________________________ _______________________________________________________________________ , and would provide notice of the following: 1. The undersigned contractor was provided with a Statement of Account by the owner of the above-described property on or about the _____ day of _______________ , 20 _______ . 2. Said Statement of Account contained a claim of lien by _______________________________ for labor or services rendered, in the amount of $ _____________ . 3. Pursuant to South Dakota Codified Laws Annotated § 44-9-11, the undersigned contractor hereby provides notice that the undersigned intends to dispute said claim, and that the undersigned explicitly declines to consent to the payment of moneys due to the undersigned contractor directly to the lien claimant. This the ______ day of ______________ , 20 _______ . _________________________ Signature _____ ____________________ Type or Print 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 certified or registered U.S. mail, postage prepaid, return receipt requested to __________________________________ . So certified this the _____ day of __________________ , 20 ______ . ________________________ Signature Notice of Dispute of Claim Page 1 of 1