Fill and Sign the California Notice Completion Form

Notice of Completion Page 1 of 2 CA Civil Code § 8182 Recording requested by: An d, when recorded, return to : Name: City, State, & Zip: Telephone: NOTICE OF COMPLETION (By an Individual Owner ) This Notice of Completion is given for completion of a contract for: all of the work of improvement, or a particular portion of the work of improvement Specify: Date of Completion: Name of owner or reputed owner: Street Address: City, State and Zip Code: The interest or estate of the owner is Name of direct contractor: Street Address: City, State and Zip Code: Name of construction lender: Street Address: City, State and Zip Code: Site of the Improvement: Street Address: City, State and Zip Code: Legal Description: Notice of Completion Page 2 of 2 CA Civil Code § 8182 If this Notice of Completion is given only for a contract for a portion of the work of improvement, describe the general nature of the work provided by the direct contractor pursuant to the contact: DATE: Signature Print or Type Name I have read the foregoing NOTICE OF COMPLETION and know the contents thereof; the same is true of my own knowledg e. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that thi s declaration was executed this day of , 20 at , . Signature Print or Type Name A notary public or other officer completing the certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California , County of On , 20 before me, (here insert name and title of the officer), personally appeared , who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity , and that by his signature on the instrument the person , or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that t he foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal)