Fill and Sign the Abandonment 497327279 Form

NOTICE OF TERMINATION OR ABANDONMENT-INDIVIDUAL The undersigned individual, ________________________________ , as owner, hereby provides notice of termination or abandonment to each subcontractor, who before the date of termination of the original contract or abandonment of performance by an original contractor under the original contract has given notice to the undersigned as provided by Section 53.056 (Demand for Payment), 53.057 (Notice for Contractual Retainange Claim), or 53.058 (Notice for Specially Fabricated Items), or has requested a notice of termination or abandonment by certified or registered mail, and states the following: (1) The name and address of the undersigned owner is: ______________________________________________________________________________ _____________________________________________________________________________ . (2) The name and address of the original contractor is: ______________________________________________________________________________ _____________________________________________________________________________ . (3) A description, legally sufficient for identification, of the real property on which the improvements are located is: ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________ . (4) A general description of the improvements agreed to be furnished under the original contract is: ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________ . (5) The original contract has been terminated or performance under the contract has been abandoned. (6) The date of the termination or abandonment was: _______________________ . (7) A claimant may not have a lien on the retained funds unless the claimant files an affidavit claiming a lien not later than the 30 th day after the date of the termination or abandonment. Signed on the _____ day of _______________ , 20 _____ . Signature       Printed Name Notice of Termination Page 1 of 2 Certificate of Delivery I,       , hereby certify that I have delivered this day a true and correct copy of the foregoing to       by: Hand Delivery Mailing a true and correct copy of same by Certified or Registered U.S. Mail, postage prepaid, to       , at his/her usual place of business located at       . So certified this the _____ day of _______________ , 20 _____ . Signature TX Code § 53.107 Notice of Termination Page 2 of 2