Fill and Sign the Fillable Online Mba Insurance Application Andor Change Form

Notice of Contract Page 1 of 2 NOTICE OF CONTRACT (OWNER - GENERAL CONTRACTOR) - INDIVIDUAL (La.Rev.Stats § 9:4811 and 9:4802(C) ) COMES NOW, __________________________________ , a s a General Contra ctor whose address is: ________________________________________________________________________ and __________________________________ as Owner whose address is: ________________________________________________________________________ , and files this written Notice of Contract before Contractor begins work on the immovable, and would provide the following: (1) Legal prope rty description and address of the immovable upon which the work is to be performed a s well as the name of the project : ____________________________________________ ____________________________ . (2) The price of the work to be performed or method by which the price will be calculated and an estimate is: ________________________________________________________________________ . (3) Payment for the work is to be made on: __________________ (date). (4) A general description of the work undertaken: ________________________________________________________________________ . (5) A bond of a solvent, legal surety for the work to be performed under the contract is or is not attached. Dated: __________________ ________________________________ Signature of Owner _____ ___________________________ Type or Print Name ________________________________ Signature of Contractor _____ ___________________________ Type or Print Name Notice of Contract Page 2 of 2 STATE OF LOUISIANA COUNTY OF ___________________ On this _______ day of ________, 20__, __________ before me personally appeared _______________________________ , to me known to be the person (or persons) described in and who executed the foregoing instrument, and acknowledged that he or she (or they) exe cuted it as his or her (or their) free act and deed. ______________________________ Notary Public ______________________________ Type or Print Name ______________________________ Title (and Rank) (Seal, if any) My appointment expires: ___________ ________ Certificate of Delivery I, , hereby certify that I have delivered this day a true and correct copy of the foregoing to Notice of Lease by: Personal Service Mailing a true and correct copy of the same by Certified or Registered U.S. Mail, postage pr epaid, return receipt requested to , who is the Owner located at ___________________________________________. Certified or Registered Mail Number: . So certified this the ______ day of __ ________________ , 20 ______ . Signature