STOP
NOTICE
(Public
or Private Work)
To:
____________________________
ADDRESS:
________________________________
CITY:
___________________ STATE:
________________ ZIP: ____________
PROJECT:
_______________________________
ADDRESS:
_______________________________
CITY:
___________________ STATE:
________________ ZIP: ____________
TAKE
NOTICE THAT ___________________ (person/firm claiming the stop notice) whose
address is ______________________________________________________
has
performed labor and furnished materials for a work of improvement described as
follows:
_________________________________________________ (address of the
project).
The
labor and materials furnished by claimant are of the following general kind: ____
_______________________________________(general
description of labor, services, equipment or materials).
The
labor and materials were furnished to or for the following party: _____________
_____________________________(name
of party who ordered the work or materials).
Total
value of the whole amount of labor and materials agreed to be furnished is
_____________________ Dollars ($_________).
The
value of the labor and materials furnished to date is ______________________
Dollars ($_________).
Claimant
has been paid the sum of ______________________ Dollars ($_________).
And
there is due, owing and unpaid the sum of _____________ Dollars ($_________).
You
are required to set aside sufficient funds to satisfy this claim with interest,
court costs and reasonable costs of litigation, as provided by law. You are also notified that claimant claims
an equitable lien against any construction funds for this project which are in
your hands.
Firm
Name: __________________________ (name of stop notice claimant)
Signature:
____________________________________
*******
VERIFICATION *******
I,
the undersigned, say: I am the ________________________ (title) the foregoing
Stop Notice; I have read said Stop Notice and know the contents thereof; the
same is true of my own knowledge. I
declare under penalty of perjury under the laws of the State of California that
the foregoing is true and correct.
Executed
on ____________________________ (month & day), __________ (year), at
_________________ (City), ___________ (State).
Signature:
__________________________________
