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Notice of Completion
Recoding Requested By:
When recorded mail to:
(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:
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:
(Verification for individual owner)
(Signature of owner or agent of owner named in Paragraph 2)
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)