Fill and Sign the California Payment Construction Form

BONDED STOP PAYMENT NOTICE (Individual as Claimant) Name of Claimant / Party Giving Notice:       Street Address:       City, State and Zip Code:       Relationship to other parties:       Statement re Nature of work provided:       Person/Party to whom work provided:       Claimant’s Estimate of total amount in value of the work to be provided: $       Claimant’s Demand for unpaid work through date of this notice: $       Name of owner or reputed owner:       Street Address:       City, State and Zip Code:       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:       Bonded Stop Payment Notice Page 1 of 3 CA Civil Code § 8532 Accompanying this Bonded Stop Payment Notice is a bond with good and sufficient sureties in a penal sum equal to 11/4 times the amount of such claim conditioned that if the defendant recovers judgment in an action brought on such Verified Claim or on the lien filed by the claimant, the claimant will pay all costs that may be awarded against the owner, original contractor, construction lender, or any of them, and all damages that such owner, original contractor, or construction lender may sustain by reason of the equitable garnishment effected by the claim or by reason of the lien, not exceeding the sum specified in the bond. Date:       Signature       Type or Print Name I,       , declare under penalty of perjury under the laws of the State of California, that I have read the above STOP NOTICE, and I know it is true of my own knowledge, except as to those things stated upon information and belief, and as to those I believe it to be true. Executed       , 20       , at       ,       . Declarant       Type or Print Name Bonded Stop Payment Notice Page 2 of 3 CA Civil Code § 8532 PROOF OF NOTICE DECLARATION (Civil Code § 8118) I,       , declare that I have served copies of the BONDED STOP PAYMENT NOTICE by (check appropriate box below): a. By personally delivering copies to: Name:       Title:       At: Street Address:       City, State and Zip Code:       On:       , 20       , at       am / pm. [Provide the above information for all other parties personally served on attached Exhibit A] b. By Certified, Express, or Registered Mail Service, postage prepaid addressed to: Name:       Title:       At: Street Address:       City, State and Zip Code:       On:       , 20       , at       am / pm. [Provide the above information for all other parties served by mail / express service on attached Exhibit A] See attached documentation provided by the US Postal Service or express mail service showing the date of delivery and the name of the person accepting delivery; tracking record or other documentation from express carrier showing attempted delivery or delivery of the notice; or, in the event of non-delivery, the returned envelope itself. I declare under penalty of perjury that the foregoing is true and correct. Signed at       , California , on       , 20 ______ . 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 _____ before me, (here insert name and title of the officer), personally appeared , who proved to me on the basis of satisfactory evidence to Bonded Stop Payment Notice Page 3 of 3 CA Civil Code § 8532 be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature _______________________________ (Seal) Bonded Stop Payment Notice Page 4 of 3 CA Civil Code § 8532