K.S.A. 60-1103aWarning Statement - Residential improvement subcontractors222 Lien(7/1/05)WARNING STATEMENT NOTICE TO OWNER:(name of supplier or subcontractor) is a supplier or subcontractorproviding materials or labor on Job No. at (residence address) underan agreement with (name of contractor) . Kansas law will allow this supplier orsubcontractor to file a lien against your property for materials or labor not paid forby your contractor unless you have a waiver of lien signed by this supplier orsubcontractor. If you receive a notice of filing of a lien statement by this supplier orsubcontractor, you may withhold from your contractor the amount claimed until thedispute is settled. CERTIFICATE OF MAILINGThe undersigned certifies that a copy of the above Warning Statement (wasmailed by regular mail to (Name of property owner) at (Mailing address of property owner) on (date of mailing) ) (is in undersigned222s possession andsaid copy has been signed and dated by (Name of property owner) acknowledging receipt of the Warning Statement). (Signature of claimant) AuthorityK.S.A. 60-1103a.Notes on UseThe provisions in K.S.A. 60-1103a relate only to subcontractor222s or supplier222s liens on 223improvement ofresidential property224 which is defined as 2231) improvement of a preexisting structure in which the owner residesat the time the claimant first furnishes labor, equipment, material or supplies and which is not used or intendedfor use as a residence for more than two families or for commercial purposes or improvement or construction of American LegalNet, Inc. www.FormsWorkFlow.com any addition, garage, fence, swimming pool, outbuilding or other improvement appurtenant to such structure; or2) any construction upon real property which is (A) owned or acquired by an individual at the time the claimantfirst furnishes labor, equipment, material or supplies; (B) intended to become and does become the principalpersonal residence of that individual upon completion; and (C) not used or intended for use as a residence for morethan two families or for commercial purposes.224 K.S.A. 60-1103a(a).The subcontractor or supplier may not file a lien pursuant to K.S.A. 60-1103 on improvement toresidential property unless the claimant has:1) mailed a warning statement conforming with K.S.A. 60-1103a(c) to any one of the owners ofthe property; or2) has in claimant222s possession a copy of a statement signed and dated by any one owner of theproperty stating that the general contractor or the claimant had given the warning statementconforming with K.S.A. 60-1103a(c) to one such owner of the property. K.S.A. 60-1103a(b). American LegalNet, Inc. www.FormsWorkFlow.com