Fill and Sign the Notice of Completioncorporation Form

Notice of Completion Page 1 of 3Prepared by, recording requested by and return to:Name: ___________________ Company: ____________________Address: _____________________City: ________________State: _____Zip: __________Phone: __________________Fax: __________________----------------------Above this Line for Official Use Only--------------------- NOTICE OF COMPLETION—CORPORATION (N.R.S. §108.228) (Assessor's Parcel Numbers: ____________________________________ ) BE IT NOW KNOWN THAT improvements on the property located at _____________________________________________________________________ were completed on the _____ day of _______________, 20_______, or work has ceased on said improvements for a period longer than thirty (30) days. If work on improvements has ceased, said improvements ceased on the _____, day of _______________, 20______ and lasted for approximately ______days. The owner's name is _______________________________. The owner's address is _____________________________________________________________________. The nature of the title of the corporation signing this notice is _________________________________.A description of the property sufficient for identification is ________________________________________________________________________ ________________________________________________________________________________________________________________________________________________[Description of Property] (If provided in metes and bounds, also include the name and mailing address of the person who prepared the legal description. If a document including the same legal description previously has been recorded, include all information necessary to identify and locate the previous recording, but not the name and mailing address of the person who prepared the legal description).The name of the contractor, if any, is _________________________________.This the _____ day of _______________, 20______ . Notice of Completion Page 2 of 3 ___________________________Corporation ___________________________ By ___________________________ Print Name___________________________ Title Attest: Secretary State of Nevada ) ) ss.County of _______________)___________________________________ (print name), being first duly sworn on oath according to law, deposes and says:I have read the foregoing Notice of Completion, know the contents thereof and state that the same is true of my own personal knowledge, except those matters stated upon information and belief, and, as to those matters, I believe them to be true. ___________________________________________ (Authorized Signature of Lien Claimant)Subscribed and sworn to before me this _____ day of the month of ___________ of the year _______.______________________________ Notary Public in and for the County and State Notice of Completion Page 3 of 3 Certificate of Delivery I, _________________________________, hereby certify that I have delivered this day a true and correct copy of the foregoing to __________________________________, (list names of each prime contractor and each potential lien claimant requested notice or delivered a preliminary notice of right to lien) by mailing a true and correct copy of same by certified U.S. mail, postage prepaid, return receipt requested, within ten (10) days of recordation. So certified this the _____ day of _____________, 20 ______. ________________________Signature NV § 108.228(2)