Chapter 7 - EXHIBIT 7B • MECHANIC'S LIEN CLAIMANT'S NOTICE TO DISBURSER

• Jurisdiction: Colorado

EXHIBIT 7B • MECHANIC'S LIEN CLAIMANT'S NOTICE TO DISBURSER MECHANIC'S LIEN CLAIMANT'S NOTICE TO DISBURSER Section 38-22-126(4) and (5), Colorado Revised Statutes

To: Disburser's Name:

Address:

Pursuant to Section 38-22-126, Colorado Revised Statutes, notice is hereby given that the undersigned is entitled to a mechanics' lien for labor, laborers, materials, services, machinery, tools, equipment, or fixtures furnished for improvements to real property.

1. The land to be improved is situate in the __________ * County of __________, State of Colorado, and is described:

Legal description Address

2. The name, address and telephone number of the lien claimant are:

Name Address Telephone

3. The name, address and telephone number of the person with whom the lien claimant has contracted are:

Name Address Telephone

4. A general statement of the contract of the lien claimant is:

5. The amount requested by the lien claimant is: $__________.**

__________
Lien Claimant

By __________

*Insert "City and" when applicable.

**This information is optional.

No. 87A. Rev. 11-09. MECHANIC'S LIEN CLAIMANT'S NOTICE TO DISBURSER (Page 1 of 2)

Disburser hereby acknowledges due service of this notice this __________ day of __________, 20___.

__________
Disburser

By __________

STATE OF COLORADO...