Note to lien claimant: This form, if filled out correctly and sent within the time periods specified in W.S. 29-2-107 constitutes prima facie evidence that you have provided the content of the notice required by W.S. 29-1-312(c). If you have any questions regarding how to fill out this form or whether it has been filled out properly, you should consult an attorney.
CERTIFIED MAIL, RETURN RECEIPT REQUESTED
To: ____________________________
Record owner or agent of owner (note: If there is more than one (1) owner, use a form for each owner)
Date: _______________, 20___
Re: Notice of Filing Lien
This letter shall serve as notice to you pursuant to W.S. 29-1-312 that ______________________(hereinafter the "lien claimant") has filed a lien against your property.
cc: _________________________
____________________________
____________________________
W.S. 29-10-103