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The Notice To Owner form in Georgia serves a crucial function in the construction and property improvement process. This form is primarily designed for individuals or entities that provide labor, services, or materials for a project but do not have a direct contractual relationship with the property owner or contractor. By filing this notice, the provider establishes their right to a lien on the property, ensuring they are recognized in the chain of payment. The form includes essential details such as the names and addresses of both the provider and the contractor, the project's location, and a description of the services or materials supplied. Importantly, this notice must be filed within a specific timeframe, either within 30 days of the Notice of Commencement or within 30 days of the first delivery of services or materials. The form also requires an affidavit of service, confirming that a copy of the notice has been sent to the property owner and contractor, thereby fulfilling legal obligations and protecting the rights of those who contribute to the property’s improvement.

Notice To Owner Georgia Example

Prepared by, recording requested by and return to:

Name ______________________

Address _________________________

City _________________________

State _____________

Zip _____________

Phone ______________________

------------------------------------Above this line for Official Use Only -----------------------------------

NOTICE TO OWNER AND CONTRACTOR - INDIVIDUAL STATE OF GEORGIA

COUNTY OF ____________________

BE IT KNOWN THAT _____________________________________________, a person

having a right to a lien on the property described below who does not have privity of contract with the contractor and is providing labor, services, or materials for the improvement of property, files this NOTICE TO OWNER and CONTRACTOR and upon being duly sworn states on his or his oath as follows:

1.This Notice is given to the owner or the agent of the owner and to the contractor at the addresses set forth in the Notice of Commencement.

2.The name, address, and telephone number of the person providing labor, services, or materials and filing this Notice is:

_________________________________________

_________________________________________

_________________________________________

3.The name and address of each person at whose instance the labor, services, or materials are being furnished:

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

4.The name of the project and location of the project set forth in the Notice of Commencement is:

- 1 -

__________________________________________________________________

__________________________________________________________________

_________________________________________________________________.

5.A description of the labor, services, or materials being provided and, if known, the contract price or anticipated value of the labor, services, or materials to be provided or the amount claimed to be due, if any, is:

__________________________________________________________________

__________________________________________________________________

_________________________________________________________________.

6.This Notice is filed within 30 days from the filing of the Notice of Commencement or 30 days following the first delivery of labor, services, or materials to the property, whichever is later.

WITNESS my signature on this the _____ day of _________________, 20_____.

____________________________________

Signature

Print Name: _________________________

AFFIDAVIT OF SERVICE

State of ________________

County of ____________________

I, ________________________________, hereby certify that I have this date sent a true and

correct copy of this ______________________________________ by personal service or by

U.S. mail, return receipt requested, in accordance with law, to the owner or the agent of the owner and the contractor at the addresses set forth in the Notice of Commencement, which the names and addresses are as follows:

__________________________________

__________________________________

__________________________________

__________________________________

DATED this the ______ day of __________________, 20______.

_____________________________

Signature

_____________________________

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Type or 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)

(Seal)

_____________________________

(Name of Notary Typed, Stamped or Printed) Notary Public, State of Georgia

My Commission Expires: ______________

Reference

44-14-361.5.

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Document Breakdown

Fact Name Fact Description
Purpose The Notice to Owner form informs property owners and contractors about individuals providing labor, services, or materials for a property improvement.
Governing Law This form is governed by Georgia law, specifically O.C.G.A. § 44-14-361.5.
Filing Deadline The notice must be filed within 30 days of the Notice of Commencement or within 30 days after the first delivery of labor, services, or materials.
Recipient The notice is sent to the property owner or their agent and the contractor involved in the project.
Signature Requirement The form must be signed by the person providing labor, services, or materials, affirming the truth of the information provided.
Affidavit of Service An affidavit of service section is included, certifying that a copy of the notice was sent to the appropriate parties.
Notary Requirement The form requires notarization, confirming the identity of the person making the statement.
Information Required Details such as the name, address, and phone number of the individual filing the notice must be included.
Project Information It is necessary to provide the name and location of the project as stated in the Notice of Commencement.
Contract Price If known, the anticipated value or contract price of the labor, services, or materials should be stated in the notice.
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