Fill and Sign the Texas Liens Form

Affidavit of CompletionPage 1 of 2Prepared by, recording requested by and return to: Name: Company: Address: City: State: Zip: Phone: Fax: ----------------------Above this Line for Official Use Only---------------------NOTICE OF CONFIDENTIALITY RIGHTS: IF YOU ARE A NATURAL PERSON, YOU MAY REMOVE OR STRIKE ANY OF THE FOLLOWING INFORMATION FROM THIS INSTRUMENT BEFORE IT IS FILED FOR RECORD IN THE PUBLIC RECORDS: YOUR SOCIAL SECURITY NUMBER OR YOUR DRIVER’S LICENSE NUMBER. AFFIDAVIT OF COMPLETION--INDIVIDUAL STATE OF __________________ COUNTY OF ________________1.I/We ________________________________________________ am/are the owner(s) of the improved real property and reside at ____________________________________ in the City of _________________, State of _________________.2.________________________________________ was the original contractor for the improvements and his/their address is .3.The improved property is located at: ____________________________________ in the City of ________________, Texas. The legal description of the real property is: [Insert or attach as Exhibit A] 4. Under the original contract, the following improvements have been completed: Affidavit of CompletionPage 2 of 2 5. The improvements under the original contract were completed on the ____ day of _______________, 20____.6.NOTICE: A CLAIMANT MAY NOT HAVE A LIEN ON RETAINED FUNDS UNLESS THE CLAIMANT FILES THE AFFIDAVIT CLAIMING A LIEN NOT LATER THAN THE 30TH DAY AFTER THE DATE OF COMPLETION.Subscribed and sworn to this _____ day of ________________, 20____, at __________________, __________. Signature and Acknowledgment of Individual Claimant Doing Business as STATE OF TEXASCOUNTY OF __________________This instrument was acknowledged before me on ___________________ (date) by (name or names of person or persons acknowledging). Notary Public Printed Name My Commission Expires: Certificate of Delivery I, ____________________________________, hereby certify that I have delivered this day a true and correct copy of the foregoing to _______________________ by:Hand Delivery Mailing a true and correct copy of same by U.S. mail postage prepaid to _________________________, at his usual place of business located at . So certified this the _____ day of ____________________, 20____. Signature TX Code § 53.106