Fill and Sign the United States V South Carolina Recycling and Disposal Form

WRITTEN NOTICE AND DEMAND FOR PAYMENT OF ACCOUNT - INDIVIDUAL (N.D.S. § 35-27-11) COMES NOW, ________________________________ , as a person who has provided labor, materials, or services for the improvement of real property located at and described as ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ , and hereby requests that ________________________________ , the owner of the real property subject to the improvements, pay the outstanding amount due on the undersigned’s account in the amount of _______________ . If payment is not made within fifteen (15) days of the date of mailing this Notice, the undersigned will perfect the mechanic’s lien against the building, improvement or premises according to law. Dated _______________________ ________________________ Signature _____ ____________________ Type or Print Name STATE OF NORTH DAKOTA COUNTY OF ___________________ The foregoing instrument was acknowledged before me this _____ day of ______________ , 20 ______ by _________________________________ (name of person acknowledging). _____________________________ Notary Public Printed Name: _________________ My Commission Expires: ______________ Written Notice and Demand for Payment of Account 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 mailing a true and correct copy of same by certified or registered U.S. mail, postage prepaid, return receipt requested. So certified this the _____ day of ______________ , 20 ______ . ________________________ Signature Written Notice and Demand for Payment of Account Page 2 of 2