Fill and Sign the Subcontractors Notice of Nonpayment Individual Iowa Form

SUBCONTRACTOR'S NOTICE OF NONPAYMENT--INDIVIDUAL (Iowa Code § 572.30) COMES NOW, __________________________________ , as a subcontractor, or property owner by subrogation, who has provided labor and/or materials for the improvement of the property described as ___________________________________ , and would state as follows: 1. The undersigned provided the following labor and/or materials to the above described property beginning on the _____ day of _____________ , 20 ______ and ending, if applicable, on the _____ day of ______________ , 20 ______ . Labor/material Amount Due ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 2. Pursuant to Iowa Code § 572.30, notice is hereby given that the undersigned is due and currently owed the amount of $ _______________ for the furnishing of the above listed labor or materials. 3. Failure of the principal contractor, _________________________________ , to provide payment for said labor and/or materials, or to give a bond or cash deposit to the clerk of the applicable district court may result in legal action being taken against the principal contractor. 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 U.S. mail, postage prepaid, return receipt requested to _____________________________________. So certified this the ______ day of ___________________, 20____. ________________________ Signature Subcontractor’s Notice of Nonpayment Page 1 of 1