Fill and Sign the Notice to Owner of Obligation Arising from Conractcorporation Form

Notice to Owner of Obligation Arising from Contract Page 1 of 2 NOTICE TO OWNER OF OBLIGATION ARISING FROM CONRACT - CORPORATION (La.Rev.Stats § 9:4822 -K) COMES NOW, __________________________________ , as a representative of _________________________________ a ________________________________ corporation that has a cla im against _________________________________ , Owner and __________________________________ , C ontractor to secure payment for obligations arising out of the performance of work under a contract dated the _____ day of __________________ , 20 ______ , and hereby gives notice to Owner of such obligation, and would provide the following: (1) Th is Notice is g iven prior to the filing of a notice of termination of the work or t he substantial completion or abandonment of the work, if a notice of termination is not filed. (2) The nature of the work or services performed by the undersigned to whom the obligation is owed and the undersigned’s mailing address is: __________________________________ . (3) After receipt of this Notice, you shall notify th e undersigned as required by R.S. 9:4842 (A) within three (3) days of filing a notice of termination of the work or the substantial completion or abandonment of the work, if a notice of termination is not filed. (4) If you fail to give notice to the undersigned within ten (10) days of commencement of the period for preservation of claims and privileges , you will be liable for all costs and attorney's fees for the establishment and enforcement of the claim or privilege. This the _____ day of ______________ , 20 _________ . ________________________________ Signature _____ ___________________________ Type or Print Name _____ ___________________________ Title _____ ___________________________ Name o f Corporation Notary Notice to Owner of Obligation Arising from Contract Page 2 of 2 Certificate of Delivery I, , hereby certify that I have delivered this day a true and correct copy of the foregoing Notice of Lease by: Personal Service Mailing a true and correct copy of the same by Certified or Registered U.S. Mail, postage prepaid, return receipt requested to , who is the located at _____ ______________________________________. Certified or Registered Mail Number: . So certified this the ______ day of __________________ , 20 ______ . Signature