Fill and Sign the Notice of Completion Individual Montana Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: ___________________ Company: ___________________ Address: ______________________ City: ___________________ State: _____ Zip: __________ Phone: _______________ Fax: _______________ NOTICE OF COMPLETION--INDIVIDUAL (M.C.A. § 71-3-533) COMES NOW, ________________________________ , as the owner of the property undergoing improvements at ________________________________________________________________________ _______________________________________________________________________ , and would provide Notice of the following: 1. On or about the _____ day of _____________ , 20 _______ the following acts and/or events occurred: A. The contracting owner, his agent, or representative provided a written acceptance of the building, improvement, or structure, or B. Labor upon the building, improvement, or structure or the alteration, addition to, or repair thereof ceased for thirty (30) days. 2. The work or improvement was completed on the _____ day of _____________ , 20 ______ , or labor ceased on the _____ day of _____________ , 20 ______ , for a period of _____ days from the _____ day of ____________ , 20 ______ , to the _____ day of ____________ , 20 ______ . 3. T he contracting owner's name and address is _______________________________________________________________________ . 4. The nature of the title, if any, of the person signing the notice is _______________________________________________________________________ . 5. The property undergoing improvements is sufficiently described for identification as: ________________________________________________________________________ _______________________________________________________________________ . Notice of Completion Page 1 of 2 6. T he name of the contractor, if any, is _______________________________ . This the _____ day of ______________ , 20 ______ . ______________________________ Signature _____ _________________________ Type or Print Name State of Montana County of ________________ _______________ (date) Signed and sworn to (or affirmed) before me on _______________ by ___________________________________ (name(s) of person(s) making statement, i.e. contractor or his agent). ______________________________ Notary Public (SEAL) Title (and Rank): _______________ Printed Name: _________________ Residing at:____________________ My Commission Expires: ______________ MT § 71-2-533(3) Notice of Completion Page 2 of 2