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Free Sample Proof of Service Notice

When filing a Claim of Lien some States Require a Proof of Service Notice of Furnishing.

Proof of Service

Proof of Service Notice

I, ______________ do hereby declare that I have served copies of the above Claim of Lien Notice:

[ ] By personally delivering copies to (the name and title of person served the Claim of Lien notice)


at the following address:


on ____/____/______
at ____:______ AM / PM.

[ ] By First Class Certified or Registered Mail Service with postage prepaid and addressed to

each of the above listed parties at their address shown above on ____/____/______.

I declare under the penalty of perjury that the foregoing is true and correct.

Signature of Claimant



Lien Notices

Preliminary Lien Notice

Release of Lien Agreement

Claim of Lien

Proof of Service

Mechanic's Lien Contract

Mechanic's Lien Waiver

Attorney Lien