Claim of Mechanics Lien Form
[______] NOTICE OF COMPLETION
California Civil Code 3093
[______] NOTICE OF CESSATION
California Civil Code 3092
DATE LABOR CEASED OR WAS COMPLETED ON THE IMPROVEMENT
Property Address and Legal Description where Work was Performed:
County of ____________
State of California
NOTICE IS HEREBY GIVEN that the Owner is the only owner of the Property, and that the Owner contracted with the Original Contractor to perform construction services and construct a certain improvement (“Work”) at the Property. That on the Date: [_____] all labor ceased on the Work at the Property; [_____] the Work was completed.
I, as a disclosed Agent of the Owner, state that I have read this Notice and that upon information and belief, I certify that I believe the facts therein are true under penalty of perjury.
Signed this ____ day of _________________, 20____.
, Agent for Owner