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(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: __________________________________



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