Notice of Interest
Take notice that
1 _________________________ is an owner as defined in the Builders Lien Act of the following land:
2 The nature of the owner's interest is:
3 The owner's interest in the land is not bound by a lien claimed under the Builders Lien Act in respect of an improvement on the land unless that improvement is undertaken at the express request of the owner.
Signed _______________________
Owner or Agent
Date ________________________
