Notice of Completion Form

[_____]   NOTICE OF COMPLETION

California Civil Code 3093

[_____]   NOTICE OF CESSATION

California Civil Code 3092

PROPERTY OWNER ("Owner")

 

 

 

ORIGINAL CONTRACTOR

 

 

 

DATE LABOR CEASED OR WAS COMPLETED ON THE IMPROVEMENT

_____/______/20____

(the “Date”)

Property Address and Legal Description where Work was Performed:

 

 

 

 

 

 

 

 

County of

State of California

(“Property”)

NOTICE IS HEREBY GIVEN that the Owner is the only owner of the Property, and that the Owner contracted with the Original Contrac tor 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.

VERIFICATION

I, as a disclosed Agent of the Ow ner, 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

Signed by:

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