Notice Of Completion 2

RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO (Name) (Street Address) (City, State and Zip) SPACE ABOVE THIS LINE FOR RECORDERS USE NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN THAT: 1. The undersigned is OWNER of the interest or estate stated below in the property hereinafter described. 2. The FULL NAME of the undersigned is 3. The FULL ADDRESS of the undersigned is 4. The NATURE OF THE INTEREST or ESTATE of the undersigned 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 PERSONS, if any, WHO HOLD SUCH INTEREST or ESTATE with the undersigned as JOINT TENANTS or as TENANTS IN COMMON are: NAMES ADDRESS 6. The full names and full addresses of the predecessors in interest of the undersigned, if the property was transferred subsequent to the commencement of the work or improvement herein referred to, are: NAMES ADDRESS 7. A work of improvement on the property hereinafter described was COMPLETED (date) 8. The NAME OF THE ORIGINAL CONTRACTOR, if any, for such work of improvement is (If no contractor, insert "NONE") 9. The street address of said property is 10. 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 named in paragraph 2) VERIFICATION I, the undersigned, say: I, am the (President, Partner, Agent, etc.) owner of the aforesaid interest or estate in the property described in the above notice. I have read the foregoing notice and know and understand the contents thereof, and the facts stated are true and correct. I declare under penalty of perjury that the foregoing is true and correct. Executed on 19 at (Place Where Signed) (Personal Signature) American LegalNet, Inc. www.FormsWorkFlow.com 2001 © American LegalNet, Inc.