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Fill and Sign the West Virginia Account 497431622 Form

Fill and Sign the West Virginia Account 497431622 Form

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Open the document and fill out all its fields.
Apply your legally-binding eSignature.
Save and invite other recipients to sign it.

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RESPONSE TO DEMAND FOR ACCOUNT BY OWNER – CORPORATION (W.Va. Code §38-2-19) COMES NOW, __________________________________ , as the representative of _________________________________ a ________________________________ corporate subcontractor, laborer, mechanic, workman or party furnishing labor and/or materials for the improvement of the located at and described as ________________________________________________________________________ _______________________________________________________________________ , and pursuant to W.Va. Code §38-2-19 the undersigned hereby provides to the owner of the above-described property the following itemized account: 1. The following work was done or caused to be done, or the following materials or other equipment was furnished for such work: ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ . 2. The dates upon which said work was done or materials furnished are as follows : ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ . 3. The price charged is $ ________________ . 4. The nature of said work or materials is as follows: ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ . This the _____ day of _______________ , 20 ______ . _________________________ Signature _____ ____________________ Type or Print Name _____ ____________________ Title _____ ____________________ Corporation 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. So certified this the _____ day of _________________ , 20 ______ . ________________________ Signature

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