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Fill and Sign the Subcontractors Notice of Furnishing Individual Indiana Form

Fill and Sign the Subcontractors Notice of Furnishing Individual Indiana Form

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Subcontractor’s Notice of Furnishing-Individual (I.C.A. § 32-28-3-9) COMES NOW, ___________________________________ , and pursuant to Indiana Code Annotated § 32-28-3-9 hereby provides notice of the following: 1. The undersigned is a subcontractor, lessor leasing equipment, journeyman, or laborer, who has provided labor or materials to the improvement of property located at ________________________________________________________________________ ____________________ . 2. The undersigned provided labor of furnished material under agreement with (contractor or other employer) ______________________________________ . 3. The undersigned is entitled to be paid the amount of $ _____________________ , for the following services rendered: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ _______________________________________ . 4. The undersigned also hereby provides notice that __________________________ as the owner of the above-mentioned property is responsible for the amount of the undersigned’s claim for services rendered, and that the property owner shall be liable for said claim, but not to exceed the amount which may be due. __________________________ Signature _____ _____________________ Type or Print Name

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