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 the owner or reputed owner are: | This preliminary lien notice has been completed by (name and address of claimant): |
Date: _________________________ | |
By: ___________________________ | |
Address: ______________________ | |
The name and address of the original contractor are: | You are hereby notified that the claimant has furnished or will 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 on 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 after 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 J or lose as a defense any inaccuracy of that information.
Within ten days after 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