Prepared by, recording requested by and return to:
Name ______________________
Company _____________________
Address __________________________
City ____________________
State _____________
Zip _________________
Phone ____________________
------------------------------------Above this line for Official Use Only -----------------------------------
NOTICE OF COMMENCEMENT - INDIVIDUAL
STATE OF GEORGIA
COUNTY OF ____________________
BE IT KNOWN THAT ____________________________________, as (
) Owner (
)
Contractor or (
) Agent of Owner, files this NOTICE OF COMMENCEMENT of the improvement of real property as described below, and upon being duly sworn states on his or his oath as follows:
1.The name, address, and telephone number of the contractor is
______________________________________
______________________________________
______________________________________
______________________________________
2.The name and location of the project being constructed is:
______________________________________________
______________________________________________
______________________________________________
______________________________________________
3.The legal description of the property upon which the improvements are being made is:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
4.The property upon which improvements are being made is located in the
_____________________ County, Georgia.
5.The name and address of the true owner of the property is:
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__________________________________________________________________
__________________________________________________________________
_________________________________________________________________.
6.The name and address of the person other than the owner at whose instance the improvements are being made, if not the true owner of the property is:
_________________________________________________________________.
7.The name and the address of the surety for the performance and payment bonds, if any are:
__________________________________________________________________
__________________________________________________________________
8.The name and address of the construction lender, if any, is:
__________________________________________________________________
_________________________________________________________________.
9.This Notice is filed within fifteen 15 days after the contractor physically commenced work on the property.
WITNESS my signature on this the _____ day of ____________________, 20_____.
____________________________________
Signature
Print Name: _________________________
Sworn to and executed in the presence of:
__________________________
Witness
Sworn to (or affirmed) and subscribed before me this ____ day of __________ (month),
__________ (year), by _______________________ (name of person making statement).
_______ Personally Known
_______ Produced Identification
Type and # of ID __________________________
____________________________
(Signature of Notary) - 2 -
(Seal) |
_____________________________ |
|
(Name of Notary Typed, Stamped or Printed) |
|
Notary Public, State of Georgia |
|
My Commission Expires: ______________ |
Reference
44-14-361.5.
Notes:
The contractor shall be required to give a copy of the Notice of Commencement to any subcontractor, materialman, or person who makes a written request of the contractor. Failure to give a copy of the Notice of Commencement within ten calendar days of receipt of the written request from the subcontractor, materialman, or person shall render the provision of this Code section inapplicable to the subcontractor, materialman, or person making the request.
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