Fill and Sign the Mt Notice Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: _________________ Company: _______________ Address: __________________ City: _________________ State: _____ Zip: __________ Phone: __________________ Fax: ___________________ NOTICE OF COMPLETION--CORPORATION (M.C.A. § 71-3-533) COMES NOW, __________________________________ , as the representative of ________________________________ a ________________________________ corporation which owns the property undergoing improvements at ______________________________________________________________________ , and would provide Notice of the following: 1. On or about the _____ day of _______________ , 20 ______ the following acts and/or events occurred: A. The contracting owner, his agent, or representative provided a written acceptance of the building, improvement, or structure, or B. Labor upon the building, improvement, or structure or the alteration, addition to, or repair thereof ceased for thirty (30) days. 2. The work or improvement was completed on the _____ day of ____________ , 20 _______ , or labor ceased on the _____ day of _____________ , 20 ______ , for a period of _____ days from the _____ day of _____________ , 20 ______ , to the _____ day of _____________ , 20 ______ . 3. T he contracting owner's name and address is _______________________________________________________________________ . 4. The nature of the title, if any, of the person signing the notice is _______________________________________________________________________ . 5. The property undergoing improvements is sufficiently described for identification as: _______________________________________________________________________ . 6. T he name of the contractor, if any, is _______________________________ . Notice of Completion Page 1 of 2 This the _____ day of ______________ , 20 ______ . ______________________________ Signature _____ _________________________ Type or Print Name _____ _________________________ Title _____ _________________________ Corporation Attest: Secretary State of Montana County of ______________ _____________ (date) Signed and sworn to (or affirmed) before me on ______________ by _____________________________________ (name(s) of person(s) making statement, i.e. contractor or his agent). ______________________________ Notary Public (SEAL) Title (and Rank): _______________ Printed Name: _________________ Residing at:____________________ My Commission Expires: _________________ MT § 71-2-533(3) Notice of Completion Page 2 of 2