Wyoming Lien Statement

Information you will need

• Recipient Name
• Recipient Address
• Date of Service
• Time of Service (Hour)
• Time of Service (Minute)
• Other Mail Type
• Recipient at Residence/Workspace
• Area left at Residence/Workspace
• Other Service Method
• Server Signing Date
• Server Name
• Method of Delivery
• Mail Type / Carrier
• Time (AM or PM)
• County Name
• Claimant Name / Address
• Lien Amount
• Lien Interest Rate (%)
• Person Owing Claimant
• Property Owners
• Contract Location
• Contract Description
• Persons Indebted to Claimant
• Claimant Name

…and 15 more fields in the PDF.

Completed by the recipient.

The form includes 1 signature line, a notary acknowledgment, a witness section.