Fill and Sign the Notice of Commencement of Improvements to Real Property Sect44 14 3615 Corporation or Llc Georgia Form

Prepared 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 GEORGIA COUNTY 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 1 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 _____ . ___________________________________ Signature Print Name: _____ ____________________ Title _____ _________________________ Name of Corporation _____ _____________ Attest: Secretary Sworn to and executed in the presence of: __________________________ Witness Sworn 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 2 of 3 Type and # of ID __________________________ ____________________________ (Signature of Notary) (Seal) _____________________________ (Name of Notary Typed, Stamped or Printed) Notary Public, State of Georgia My Commission Expires: ______________ Reference 44 - 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 shall render the provision of this Code section inapplicable to the subcontractor, materialman, or person making the request. Notice of Commencement Page 3 of 3