Notice of Lien Release Bond

NOTICE OF LIEN RELEASE BOND

[Individual as Party Seeking Release of Real Property]

To: Lien Claimant:

Street Address:

City, State and Zip Code:

Name of Party Giving Notice:

Street Address:

City, State and Zip Code:

Relationship to other parties:

Name of owner or reputed owner:

Street Address:

City, State and Zip Code:

Name of direct contractor:

Street Address:

City, State and Zip Code:

Name of construction lender:

Street Address:

City, State and Zip Code:

Site of the Improvement:

Street Address:

City, State and Zip Code:

Legal Description:

COMES NOW, and would provide notice of the following:

1. On or about the a lien was claimed against the above described property by

2. On or about the undersigned recorded in the office of the county recorder in which said lien was claim of lien was recorded, a bond executed by a corporation authorized to issue surety bonds in the State of California, in the amount of $

3. Pursuant to California Civil Code § 8424, a copy of said bond is attached to this notice.

4. Notice: Any legal action undertaken on said bond by the lien claimants must be commenced within six (6) months of the date of the recording of the lien release bond.

Date:

PROOF OF NOTICE DECLARATION

(Civil Code § 8118)

I, declare that I have served copies of the NOTICE OF LIEN RELEASE BOND by (check appropriate box below):

a. By personally delivering copies to:

Name:

Title:

At: Street Address:

City, State and Zip Code:

On: at am / pm.

b. By Certified, Express, or Registered Mail Service, postage prepaid addressed to:

Name:

Title:

At: Street Address:

City, State and Zip Code:

On: at am / pm.

See attached documentation provided by the US Postal Service or express mail service showing the date of delivery and the name of the person accepting delivery; tracking record or other documentation from express carrier showing attempted delivery or delivery of the notice; or, in the event of non-delivery, the returned envelope itself.

I declare under penalty of perjury that the foregoing is true and correct.

Signed at California on

ATTACH SERVICE LIST OF CERTIFIED OR REGISTERED MAIL WHEN RETURNED, OR PHOTOCOPY OF POST OFFICE RECORD OF DELIVERY OF RECEIPT.

State of California

County of

On before me, (here insert name and title of the officer), personally appeared who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and

that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.