Fill and Sign the Notice Commencement Form 497311329

Prepared by, recording requested by and return to: ----------------------Above this Line for Ofcial Use Only---------------------Name: ____________________________ Company: ________________________ Address: ________________________ City: _________________ State: _____ Zip: __________ Phone: _________________ Fax: _________________ NOTICE OF COMMENCEMENT—RESIDENTIAL PROPERTY—CORPORATION (M.S.A. § 570.1108a) WARNING TO HOMEOWNER Michigan law requires that you do the following: 1. Complete and return this form to the person who asked for it within 10 days after the date of the postmark on the request. 2. If you do not complete and return this form within the 10 days you may have to pay the expenses incurred in getting the information. 3. If you do not live at the site of the improvement, you must post a copy of this form in a conspicuous place at that site. You are not required to but should do the following: 1. Complete and post a copy of this form at the place where the improvement is being made, even if you live there. 2. Make and keep a copy of this form for your own records. To lien claimants and subsequent purchasers: Take notice that work is about to commence on an improvement to the real property described in this instrument. A person having a construction lien may preserve the lien by providing a Notice of Furnishing to the below named Designee and the General Contractor, if any, and by timely recording a claim of lien, in accordance with law. A person having a construction lien arising by virtue of work performed on this improvement should refer to the name of the Owner or Lessee and the legal description appearing in this notice. A person subsequently acquiring an interest in the land described is not required to be named in a claim of lien. A copy of this Notice with an attached form for Notice of Furnishing may be obtained upon making a written request by, certified mail to the named Owner or Lessee, the Designee, or the person with whom you have contracted. Notice of Commencement – Residential Page 1 of 3 State of Michigan ) ) ss County of ) ______________________________ the undersigned, as a representative of _____________________________ , a _____________________________ , corporation, being duly sworn, deposes and says: The legal description of the real property on which the improvement is to be made is (include property tax identification number and address): ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ The name, address and capacity of the Owner or Lessee of the real property contracting for the improvement is: Name: _________________________________ Address: _________________________________ Capacity: _________________________________ The name and address of the Fee Owner of the real property, if the person contracting for the improvement is a land contract vendee or lessee, is: Name: ____________________________________ Address: ____________________________________ The name and address of the Owner's or Lessee's Designee is: Name: __________________________________ Address: __________________________________ The name and address of the General Contractor, if any, is: Name: __________________________________ Address: __________________________________ (Name of person with whom you have contracted to provide substantially all the improvements to the property) ________________________________________ Signature _____ ______________________________________ Type or Print Name _____ ___________________________________ Title _____ ____________________________________ Corporation Attest: Secretary Notice of Commencement – Residential Page 2 of 3 Subscribed and sworn to by _______________________ before me on the ___ day of 20____ . Signature: _________________________________ Printed Name: ______________________________ Notary public, State of Michigan, County of __ My commission expires______________________ NOTE: ATTACH A NOTICE OF FURNISHING. Prepared By: Name: _______________________________________________ Address: ____________________________________________ Notice of Commencement – Residential Page 3 of 3