Notice of Furnishing

Please use the EXACT legal name for each company and/or entity (including your own) as it appears on the Secretary of State's Records. Here is the link to the Ohio Secretary of State's business search tool.

INTRODUCTORY INFORMATION

Is the client a business REGISTERED with a secretary of state? YesNo

[group RegisteredSTATE]

Registered with which STATE?

[/group]

Client's Name?

[group Ifnotaregisteredbusiness]

If not a registered business, are you doing business under a FICTITIOUS NAME?YesNo

[group WhatistheFICTITIOUSNAME]

What is the FICTITIOUS NAME?

[/group]

[group TypeBusiness]

What TYPE of Business?

[/group]

Client Address - Line 1

Client Address - Line 2

Client's Email Address?

[group Whoissigningtheaffidavitforclient]

Who is signing the affidavit for client?

[/group]

NOTICE INFORMATION

CONTRACTING PARTY: To whom did you provide materials or for whom did you perform labor?

ADDRESS of contracting party?

DATE on which labor/materials were performed/furnished or will be performed/furnished?

ORIG. CONTRACTOR: NAME of Original Contractor from Notice of Commencement?

Original Contractor ADDRESS - Line 1

Original Contractor ADDRESS - Line 2

OWNER: Owner, part-owner, lessee, or designee from Notice of Commencement?

Owner ADDRESS - Line 1

Owner ADDRESS - Line 2

PROPERTY INFORMATION

STATE where work performed?

COUNTY where work performed?

Property Address?

Permanent Parcel Number?

ADDITIONAL COMMENTS

Additional Comments

Firm Secure DropBox: Upload PDF or Word document version of necessary documents to our secure dropbox located at this link.

"Necessary Documents" may include:

Notice of Commencement

Contracts and Agreements

Invoices

Please note: Multiple documents may be submitted at once simply by using either the "Shift" or "Ctl" keys.

Please use the EXACT legal name for each company and/or entity (including your own) as it appears on the Secretary of State's Records. Here is the link to the Ohio Secretary of State's business search tool.

INTRODUCTORY INFORMATION

NOTICE INFORMATION

PROPERTY INFORMATION

ADDITIONAL COMMENTS

Firm Secure DropBox: Upload PDF or Word document version of necessary documents to our secure dropbox located at this link.

"Necessary Documents" may include: Notice of Commencement Contracts and Agreements Invoices

"Necessary Documents" may include:

Notice of Commencement

Contracts and Agreements

Invoices