Fill and Sign the Tx Affidavit Form

Affidavit of Commencement 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 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 COMMENCEMENT —INDIVIDUAL STATE OF TEXASCOUNTY OF , Owner, whose address is __________ , and/or ____________________ , Original Contractor, whose address is hereby gives notice that: 1.The following is the name and address of each original contractor, known at the time to the owner, who is furnishing labor, service, or materials for the construction of improvements: Contractor Address 2. A description, legally sufficient for identification, of the property being improved is: [Insert legally sufficient property description] Affidavit of Commencement Page 2 of 3 3. The date the work actually commenced is the _____ day of ______________, 20____.4.A general description of the improvement is: Signature and Acknowledgment of Individual Owner _____________________________________ Signature and Acknowledgment of Individual Original Contractor _____________________________________ 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 Affidavit of Commencement Page 3 of 3 , at his/her usual place of businesslocated at . So certified this the _____ day of ________________, 20____. ___________________________________Signature TX Code § 53.124