Stop Notice Form

STOP NOTICE
LEGAL NOTICE TO WITHHOLD CONSTRUCTION FUNDS

ARS § 33-1051 et seq

NOTICE SENT TO:

PROPERTY OWNER (Name & Address)

 

 

 

CONSTRUCTION LENDER (Name and Address)

 

 

 

THE CLAIMANT (Name and Address)

 

 

 

PARTY WHO HIRED CLAIMANT: (Name and Address)

 

 

 

 

PROJECT NAME:

 

JOB NUMBER:

PROJECT ADDRESS: (Name & Address)

 

 

 

AMOUNT OF CLAIM

Total valud of services
Contracted

$_________________________

Total value of services
Actually furnished

$_________________________

Amount of payments
Received by Claimant (if any)

$_________________________

Principal amount due
After deducting all just credits & offsets

$_________________________

DESCRIPTION OF LABOR AND MATERIALS PROVIDED TO PROJECT & PROPERTY

 

 

 

YOU ARE HEREBY NOTIFIED that the CLAIMANT has furnished labor, materials, tools, and/or equipment for the construction of the above-named PROJECT at the PROPERTY. The name of the person or company who hired the CLAIMANT to provide said labor, materials, tools and/or equipment is above-identified as the HIRING PARTY.

The above-identified AMOUNT OF CLAIM is the balance due to CLAIMANT, and the demand of the CLAIMANT in this Stop Notice. YOU ARE HEREBY NOTIFIED to withhold sufficient funds held by you on the above-identified PROJECT to satisfy the CLAIMANTS demand, and any additional funds to cover the interest, court costs, and reasonable costs of litigation that may accrue, as provided by law.

A bond [_____] is issued and attached with this notice; [_____] is not issued or attached with this notice.

SIGNATURE OF CLAIMANT, AND VERIFICATION

STATE OF
COUNTY OF

I, ________________________, the undersigned, being of lawful age and being first duly sworn upon oath, do state that I am the authorized, limited and disclosed agent of the Claimant named herein, appointed for the purposes of signing and sending this Stop Notice, and that I have read the foregoing Stop Notice, know the contents thereof, and as an agent appointed by the Claimant to sign the instrument I have been provided and thereby have knowledge of the facts, and certify that based thereupon, upon my information and belief the foregoing is true and correct, and that I believe them to be true.

Agent of Claimant
Signed by
Title

Sworn to and subscribed before me, undersigned Notary Public in and for the above listed State and County/Parish, on this ____ day of _______________, 20_____, by _________________, who is known to me, or satisfactorily proved to me, to be the person whose name is subscribed to this document, and who acknowledged that he/she executed this document in the capacity indicated for the principal named.

Notary Public
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