Fill and Sign the Notice to Owner of Obligation Arising from Contract Individual Louisiana Form

NOTICE TO OWNER OF OBLIGATION ARISING FROM CONRACTINDIVIDUAL (La.Rev.Stats § 9:4822-K) COMES NOW, __________________________________, as a person who has a claim against _________________________________, Owner and __________________________________, Contractor 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) This Notice is given prior to the filing of a notice of termination of the work or the 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 the 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 Notice to Owner of Obligation Arising from Contract Page 1 of 2 Notary Certificate of Delivery I, , hereby certify that I have delivered this day a true and correct copy of the foregoing Notice to Owner of Obligation Arising from Contract 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 Owner located at ___________________________________________. Certified or Registered Mail Number: . So certified this the ______ day of __________________, 20______. Signature Notice to Owner of Obligation Arising from Contract Page 2 of 2