Affidavit of Completion

Affidavit of Completion - Corporation

------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 COMPLETION--CORPORATION

STATE OF

COUNTY OF

1. I/We

am/are the owner(s) of the improved real property and reside at

in the City of State of

2. was the original contractor

for the improvements and his/their address is

3. The improved property is located at:

in the City of Texas. The legal

description of the real property is: [Insert or attach as Exhibit A]

4. Under the original contract, the following improvements have been completed:

5. The improvements under the original contract were completed on the day

of

6. NOTICE: A CLAIMANT MAY NOT HAVE A LIEN ON RETAINED FUNDS UNLESS THE CLAIMANT FILES THE AFFIDAVIT CLAIMING A LIEN NOT LATER THAN THE 30TH DAY AFTER THE DATE OF COMPLETION.

Subscribed and sworn to this day of , at

Signature and Acknowledgment of Corporation

Attest:

Corporate Secretary

Print Name:

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 corporation,

on behalf of said corporation.

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 ,

TX Code § 53.106