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Form 6

Notice of Non-payment of Holdback under Section 27.1 of the Act (Construction Act)

Name of Owner

Owner Address

Description of the premises

Address for service, if known

Name of Contractor

Contractor Address

The owner will not pay the following amount required to be paid under sections 26 & 27 of the Construction Act:

(Use A or B, whichever is applicable)

A. The full amount of the holdback, being $

B. A portion of the amount of the holdback, being $

Date

Upload Signed Notice

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