Fill and Sign the Notice of Commencement Corporation Form

Notice of Commencement Page 1 of 3Prepared by, recording requested by and return to:Name ______________________Company _____________________Address __________________________City ____________________State _____________Zip _________________Phone ____________________------------------------------------Above this line for Official Use Only ----------------------------------- NOTICE OF COMMENCEMENT - CORPORATION STATE OF GEORGIACOUNTY OF ____________________ BE IT KNOWN THAT ____________________________________, as ( ) Owner ( ) Contractor or ( ) Agent of Owner, files this NOTICE OF COMMENCEMENT of the improvement of real property as described below, and upon being duly sworn states on his or his oath as follows: 1.The name, address, and telephone number of the contractor is______________________________________ ______________________________________ ______________________________________ ______________________________________ 2.The name and location of the project being constructed is:__________________________________________________________________________________________________________________________________________ ______________________________________________ 3.The legal description of the property upon which the improvements are being made is:__________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 4. The property upon which improvements are being made is located in the _____________________ County, Georgia.5.The name and address of the true owner of the property is: Notice of Commencement Page 2 of 3__________________________________________________________________ __________________________________________________________________ _________________________________________________________________.6. The name and address of the person other than the owner at whose instance the improvements are being made, if not the true owner of the property is:_________________________________________________________________. 7. The name and the address of the surety for the performance and payment bonds, if any are:__________________________________________________________________ __________________________________________________________________ 8. The name and address of the construction lender, if any, is:__________________________________________________________________ _________________________________________________________________.9.This Notice is filed within fifteen 15 days after the contractor physically commenced work on the property.WITNESS my signature on this the _____ day of ____________________, 20_____. ___________________________________ SignaturePrint Name: _________________________ Title ______________________________Name of Corporation __________________ Attest: Secretary Sworn to and executedin the presence of:__________________________ WitnessSworn to (or affirmed) and subscribed before me this ____ day of __________ (month), __________ (year), by _______________________ (name of person making statement)._______ Personally Known_______ Produced Identification Notice of Commencement Page 3 of 3Type and # of ID __________________________ ____________________________(Signature of Notary) (Seal) _____________________________ (Name of Notary Typed, Stamped or Printed) Notary Public, State of GeorgiaMy Commission Expires: ______________ Reference44-14-361.5.Notes:The contractor shall be required to give a copy of the Notice of Commencement to any subcontractor, materialman, or person who makes a written request of the contractor. Failure to give a copy of the Notice of Commencement within ten calendar days of receipt of the written request from the subcontractor, materialman, or person shallrender the provision of this Code section inapplicable to the subcontractor, materialman, or person making the request.