• CLAIM OF LIEN – NOTICE OF NONPAYMENT WORKSHEET FORM

    (Basic Information for Processing a Claim of Lien/Notice of Nonpayment)


    MID STATE NOTIFIER
    19 NW 8 ST, OCALA, FL 34475
    MELISSA@MIDSTATENOTIFIER.COM
    352-861-9100 - TOLL FREE 866-703-9100 - FAX 732-9979


    NOTE: Due to the high volume of storage, we will maintain and store records in our warehouse for a period of 2 years. If you have any need for the Notice to Owners, Proof of Service or Claim of Liens, it is your responsibility to notify us and obtain these records to avoid being destroyed.

  • (Information provided by Mid State Notifier if we did the NTO)
  • YOUR INFORMATION

  • (IT IS NOT NECESSARY TO NOTARIZE THIS FORM)
  • Drop files here or
  • Verify that you are a real human.