Fill and Sign the Notice of Completion Individual 490209952 Form

Notice of Completion Page 1 of 1Prepared by, recording requested by and return to:Name: ____________________Company: _____________________Address: _____________________City: ________________State: _____Zip: __________Phone: ________________Fax: _________________----------------------Above this Line for Official Use Only---------------------Name of Claimant: ________________________________Name of Debtor: ________________________________Amount of Lien: _________________Tax Assessor’s Account Number: _________________Situs Address of Real Property: ________________________________________________________________________ NOTICE OF COMPLETION - INDIVIDUAL (Or. Rev. Stat. § 87.045) Notice hereby is given that the building, structure or other improvement on the following described premises, ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ (insert the legal description of the property (including the street address, if known), such as a metes and bounds description; a lot, block, subdivision; the book and page and/or instrument number of a recorded deed where the legal can be found; or a parcel in a partition) has been completed. All persons claiming a lien upon the same under the Construction Lien Law hereby are notified to file a claim of lien as required by ORS 87.035. This the _____ day of ______________ , 20_______. __________________________________Original Contractor, Owner or Mortgagee __________________________________Type or Print Name ____________________________________________________________________Address