Notice of Completion



RECORDING REQUESTED BY:









AND WHEN RECORDED MAIL TO:







_____________________________





(Name)





_____________________________





(Street Address)





_____________________________





(City, State & Zip)









=================================================





SPACE 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 "Leasee")









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:









NAME









ADDRESSES









6. A work of improvement on the property hereinafter described was completed on ________________. The work done was: (Date)









7. The name of the contractor, if any, for such work of improvement is _________________ (If no Contractor for work of improvement, insert "none")









8. The street address of said property is: ____________________________ (If no street address has been assigned, insert none")









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: ________________.









(Verification for individual owner)









___________________________________





(Signature of owner or agent of owner named in Paragraph 2)









VERIFICATION









I, undersigned, say:









I am the _____________ ("President," "Partner," etc.) 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 _______________, 20 __, at _____________________,









(Date of signature)









(City where signed)









(State where signed)









(Personal signature of the individual who is swearing that the contents of the notice of completion are true)