Fill and Sign the Affidavit of Commencementcorporation Form

Affidavit of Commencement Page 1 of 4 Prepared by, recording requested by and return to: Name: Company: Address: City: State: Zip: Phone: Fax: ----------------------Above this Line for Official Use Only--------------------- 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—CORPORATION 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 2 of 4 3. The date the work actually commenced is the _____ day of _______________, 20____. 4. A general description of the improvement is: Signature and Acknowledgment of Corporate Owner By: Print Name: Its: Title Signature and Acknowledgment of Corporate Original Contractor By: Print Name: Its: Title Attest: Corporate Secretary Print Name: Affidavit of Commencement Page 3 of 4 STATE OF TEXAS COUNTY OF This instrument was acknowledged before me on ______(date)______ by (name of officer), (title of officer) of (name of corporation acknowledging) a (state of incorporation) corporation, on behalf of said corporation. Notary Public Printed Name My Commission Expires: Affidavit of Commencement Page 4 of 4 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 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