NOTICE
OF COMPLETION
RECORDING
REQUESTED BY: ______________________
AND
WHEN RECORDED MAIL TO:
_______________________
========================================================
1SPACE ABOVE THIS LINE
FOR RECORDER'S USE
Notice
Is Hereby Given That:
_____________________
1.
The undersigned is an owner or agent of an owner of the interest or estate
stated below.
2.
The full name of the owner is:
___________________
3.
The full address of the owner is:
____________________
4.
The nature of the interest or estate of the owner is;_____________________ in
fee (If other than fee, strike "in fee" and insert, for example,
"Purchaser Under Contract of Purchase," or "Lessee").
5.
The full names and full addresses of all CO-owners, if any, who hold any title
or interest with the above-named owner in the property are:
NAMES
ADDRESSES
_____________________ ____________________________________
_____________________ _____________________________________
6.
A work of improvement on the property hereinafter described was completed on
_______________________________. The
work done was: _________________.
7.
The name of the contractor, if any, for such work of improvement is: __________
___________________________________________________.
8.
The street address of said property is:
_________________________________.
9.
The property on which said work of improvement was completed is in the City of
_________________________, County of ____________________, State of ______, and
is described as follows:
________________________________________.
Date: _________________________
___________________________________________________
(Signature
of Owner or Agent of Owner Named In Paragraph 2)
VERIFICATION
I,
the undersigned, say:
I
am the ________________________________, the declarant of the foregoing notice
of completion; I have read said Notice of Completion and know the contents
thereof; the same is true of my own knowledge.
I
declare under penalty of perjury that the foregoing is true and correct.
Executed
on ____________________, at ___________________________.
__________________________________________________________
Signature
