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Fill and Sign the Written Notice of Nonpayment Individual Minnesota Form

Fill and Sign the Written Notice of Nonpayment Individual Minnesota Form

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WRITTEN NOTICE OF NONPAYMENT--INDIVIDUAL (M.S.A. § 514.02(2)) COMES NOW, _______________________________ , the undersigned, who is either: ( ) A property owner or other party that has made payments for labor, skill, or material for the improvement of the property at ___________________________________ , or ( ) A party who has furnished labor, skill, or materials for the improvement of the above-mentioned property and who has not been paid, and would state as follows: Labor, skill, or materials have been supplied for the improvement of said property by ________________________________ , the cost of said labor, skill, or materials remaining to be paid is $ ______________ . Payment for the labor, skill, or material provided has been made to __________________________________ . NOTICE: Failure by the party paid to act promptly to insure that the party supplying said labor, skill, or materials is also paid may result in legal action being taken against you. This the _____ day of _______________ , 20 ________ . ______________________________ Signature _____ _________________________ Type or Print Name _____ _________________________ ______________________________ Address MN § 514.02(2)

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