Fill and Sign the Louisiana Notice of Contract Form

NOTICE OF CONTRACT (OWNER - GENERAL CONTRACTOR)- CORPORATION (La.Rev.Stats § 9:4811 and 9:4802(C)) COMES NOW, __________________________________, as a representative of _________________________________ a ________________________________ corporate General Contractor whose address is: ________________________________________________________________________ and __________________________________ as a representative of _________________________________ a ________________________________ corporate 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 property description and address of the immovable upon which the work is to be performed as 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: ________________________________________________________________________. is or (5) A bond of a solvent, legal surety for the work to be performed under the contract is not attached. Dated: __________________ ________________________________ Signature of Owner ________________________________ Type or Print Name ________________________________ Title ________________________________ Name of Corporation Notice of Contract Page 1 of 3 ________________________________ Signature of Contractor ________________________________ Type or Print Name ________________________________ Title ________________________________ Name of Corporation Attest: Secretary STATE OF LOUISIANA COUNTY OF ___________________ On this ________ day of ________, 20__, before me appeared ______________________________, to me personally known, who, being by me duly sworn (or affirmed) did say that he or she is the president (or other officer or agent of the corporation or association), of ______________________ (describing the corporation or association), and that the seal affixed to said instrument is the corporate seal of said corporation (or association) and that the instrument was signed and sealed in behalf of the corporation (or association) by authority of its Board of Directors (or trustees) and that ________________________ acknowledged the instrument to be the free act and deed of the corporation (or association) or that the corporation (or association) has no corporate seal. ______________________________ Notary Public ______________________________ Type or Print Name ______________________________ Title (and Rank) (Seal, if any) My appointment expires: ___________________ Notice of Contract Page 2 of 3 Certificate of Delivery I, , hereby certify that I have delivered this day a true and correct copy of the foregoing to Notice of Contract by: Personal Service Mailing a true and correct copy of the same by Certified or Registered U.S. Mail, postage prepaid, return receipt requested to , who is the Owner located at ___________________________________________. Certified or Registered Mail Number: . So certified this the ______ day of __________________, 20______. Signature Notice of Contract Page 3 of 3