Fill and Sign the Affidavit Commencement Texas Form

Prepared by, recording requested by and return to:       ----------------------Above this Line for Official Use Only---------------------Name:       Company:       Address:       City:       State:       Zip:       Phone:       Fax:       NOTICE OF CONFIDENTIALITY RIGHTS: IF YOU ARE A NATURAL PERSON, YOU MAY REMOVE OR STRIKE ANY OF THE FOLLOWING INFORMATION FROM THIS INSTRUMENT BEFORE IT IS FILED FOR RECORD IN THE PUBLIC RECORDS: YOUR SOCIAL SECURITY NUMBER OR YOUR DRIVER’S LICENSE NUMBER. AFFIDAVIT OF COMMENCEMENT—INDIVIDUAL STATE OF TEXAS COUNTY OF             , Owner, whose address is       __________ , and/or       ____________________ , Original Contractor, whose address is       hereby gives notice that: 1. The following is the name and address of each original contractor, known at the time to the owner, who is furnishing labor, service, or materials for the construction of improvements: Contractor Address                                     2. A description, legally sufficient for identification, of the property being improved is: [Insert legally sufficient property description] Affidavit of Commencement Page 1 of 3                   3. The date the work actually commenced is the _____ day of ______________ , 20 ____ . 4. A general description of the improvement is:                   Signature and Acknowledgment of Individual Owner _____________________________________ Signature and Acknowledgment of Individual Original Contractor _____________________________________ STATE OF TEXAS COUNTY OF       This instrument was acknowledged before me on ______(date)______ by (name or names of person or persons acknowledging) . Notary Public       Printed Name My Commission Expires:       Certificate of Delivery I,       , hereby certify that I have delivered this day a true and correct copy of the foregoing to       by: Affidavit of Commencement Page 2 of 3 Hand Delivery Mailing a true and correct copy of same by 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 § 53.124 Affidavit of Commencement Page 3 of 3