In accordance with Arizona Revised Statutes section 33-992.01, this is not a lien and this is not a reflection on the integrity of any contractor or subcontractor.
Notice to Property Owner
If bills are not paid in full for the labor, professional services, materials, machinery, fixtures or tools furnished or to be furnished, a mechanic's lien leading to the loss, through court foreclosure proceedings, of all or part of your property being improved may be placed against the property. You may wish to protect yourself against this consequence by either:
Arizona Preliminary Twenty Day Lien Notice
In accordance with Arizona Revised Statutes section 33-992.01, this is not a lien. This is not a reflection on the integrity of any contractor or subcontractor.
The name and address of This preliminary lien notice has
the owner or reputed been completed by (name and
owner are: address of claimant):
Date: _________________________
By: ___________________________
Address: ______________________
The name and address You are hereby notified that the
of the original claimant has furnished or will
contractor are: furnish labor, professional
services, materials, machinery,
fixtures or tools of the
following general description:
The name and address of
any lender or reputed
lender and assigns are:
In the construction, alteration or
repair of the building, structure
or improvement located at:
The name and address
of the person with
whom the claimant
has contracted are: And situated upon that certain
lot(s) or parcel(s) of land in
_____________ County, Arizona,
described as follows:
An estimate of the total price of
the labor, professional services,
materials, machinery, fixtures
or tools furnished or to be
furnished is: $_________________
(The following statement shall be in bold-faced type.)
Notice to Property Owner
If bills are not paid in full for the labor, professional services, materials, machinery, fixtures or tools furnished, or to be furnished, a mechanic's lien leading to the loss, through court foreclosure proceedings, of all or part of your property being improved may be placed against the property. You may wish to protect yourself against this consequence by either:
(The following language shall be in type at least as large as the largest type otherwise on the document.)
Within ten days of the receipt of this preliminary twenty day notice the owner or other interested party is required to furnish all information necessary to correct any inaccuracies in the notice pursuant to Arizona Revised Statutes section 33-992.01, subsection I or lose as a defense any inaccuracy of that information.
Within ten days of the receipt of this preliminary twenty day notice if any payment bond has been recorded in compliance with Arizona Revised Statutes section 33-1003, the owner must provide a copy of the payment bond including the name and address of the surety company and bonding agent providing the payment bond to the person who has given the preliminary twenty day notice. In the event that the owner or other interested party fails to provide the bond information within that ten day period, the claimant shall retain lien rights to the extent precluded or prejudiced from asserting a claim against the bond as a result of not timely receiving the bond information.
Dated: ___________________ ___________________________
(Company name)
By: ______________________
(Signature)
______________________
(Title)
(Acknowledgement of receipt language from Arizona Revised Statutes section 33-992.02 shall be inserted here.)
A.R.S. § 33-992.01