Fill and Sign the Wis Unemployment Claim Online Form

Subcontractor Notice of Intent to File Claim for Lien Page 1 of 1 SUBCONTRACTOR NOTICE OF INTENTION TO FILE CLAIM FOR LIEN -- INDIVIDUAL (§779.06(2), Wis. Stats.) OWNER'S NAME: ________________________________ OWNER'S ADDRESS: _______________________________________________________________________________________________________________________________________________. The undersigned Subcontractor, having contracted with ________________________________, (name of party with whom Subcontractor contracted) provided materials and/or labor for:______________________________________________________________________________________________________________________________________________ (describe work performed) to improve your property located at:________________________________________________________________________________________________________________________________________________ and, as of the date of this Notice, is owed the sum of $ __________________. Notice is hereby provided that if payment in full is not received within thirty (30) days from the date of this Notice, the Subcontractor intends to file a Claim for Lien on your Property. This is the _____ day of ________________, 20______. _____________________________ Signature_____________________________ Type or Print Name__________________________________________________________ Address Certificate of Delivery I, ___________________________________, hereby certify that I have delivered this day a true and correct copy of the foregoing to property owner __________________________________ by: ( ) Personal Delivery ( ) Mailing a true and correct copy of same by registered U.S. mail, postage prepaid, return receipt requested to _________________________________. So certified this the _____ day of _______________, 20______. ________________________ Signature