Fill and Sign the Arizona Corporation Llc Form

WRITTEN STATEMENT OF RECORDING—CORPORATION, LLC, etc. On the _____ day of ___________ , 20 ______ , I, __________________________________ , recorded a Notice of Completion regarding the project located at ___________________________________ . The Notice of Completion is recorded in the County Recorder's Office of ________________________ County, Arizona. It is recorded at Book _______ , Page ______ , of Index ___________________ . I am mailing this Statement to the following people who comprise the Contractor as well as all parties I received a Preliminary Twenty Day Notice from: Name Address ___________________________________ ___________________________________ ___________________________________ ___________________________________ A copy of the Notice of Completion is attached. This the _____ day of ___________ , 20 ______ . ______________________________ _ Name of Company By: __________________________ ___ _____ __ Signature Title ______________________________ Type or Print Name Written Statement of Recording Page 1 of 2 Certificate of Delivery I, _____________________________________, hereby certify that I have delivered this day a true and correct copy of the foregoing Written Statement of Recording to ___________________________________ by: mailing a true and correct copy of Written Statement Recording by certified, registered U.S. mail, postage prepaid, to ___________________________, at his/her usual place of business located at ______________________________________. So certified this the ______ day of ___________________, 20____. ____________________________________ Signature AZ § 33-993(I) Written Statement of Recording Page 2 of 2