Fill and Sign the Notice Completion Contract Form

NOTICE OF INTENT TO FILE NOTICE OF COMPLETION--INDIVIDUAL (A.S. § 34.35.071(a)(2)) COMES NOW, ___________________________________ , as the owner of the real property undergoing improvements at ___________________________________ , and that may be subject to a lien, at least five days before the recording of the notice of completion to all claimants who have given a notice of right to lien or a stop-lending notice to the owner and the lender prior to 10 days before recording a notice of completion, and would hereby provide Notice of the following: 1. The improvements on the above-described property were completed on or about the _____ day of _________ , 20 _____ . 2. The above-described property is owned by __________________________________ , of the following address: __________________________________ . 3. The nature of the interest or estate of the Owner is described as ____________________________________ . 4. The legal description of the property is _________________________________ . 5. The general contractor on the project was ____________________________________ . 6. Attached to this Notice is a copy of the Notice of Completion. The notice of completion will be recorded not earlier than five days after the date of this notice. This the _____ day of __________ , 20 _____ . _________________________ Signature _____ ____________________ Print or Type Name Notice of Intent to File Notice of Completion Page 1 of 2 State of Alaska _______________________ Judicial District _______________________ Claimant I, ___________________________________, being first duly sworn, on oath say that I am ________________________________ named in the foregoing claim; that I have heard the claim read, know the contents of it, and believe it is true. _________________________ Signature _____ ____________________ Print or Type Name State of Judicial District (or County) of or Municipality of the foregoing instrument was acknowledged before me this __________ (date) by _____________________________ (name of person who acknowledged). ________________________________________ Signature of Person Taking Acknowledgment _________________________ Title or Rank My Commission Expires: ________________ Serial Number, if any _______________ Certificate of Delivery I, _____________________________________, hereby certify that I have delivered this day a true and correct copy of the foregoing to ___________________________________ by: ( ) Personal Service with signed receipt ( ) Mailing a true and correct copy of same by first-class U.S. mail, postage prepaid, return signed receipt requested to ___________________________, So certified this the ______ day of ___________________, 20____. ________________________ Signature Notice of Intent to File Notice of Completion Page 2 of 2