RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO: Name Street Address City & State S R U PAGE SIZE DA MISC LONG RFD COPY M A L 465 426 PCOR NCOR SMF NCHG EXAM CTY UNI T: SPACE ABOVE THIS LINE FOR RECORDER’S USE ONLY NOTICE OF COMPLETION Notice is hereby given that: 1. The undersigned is owner or corporate officer of the owner of the interest or estate stated below in the property hereinafter described: 2. The full name of the owner is 3. The full address of the owner is 4. The nature of the interest or estate of the owner is in fee. 5. The full names and full addresses of all persons, if any, who hold title with the undersigned as joint tenants or as tenants in common are: (If other than fee, strike “in Fee” and insert, for example, “purchaser under contract of purchase,” or “lessee”) NAMES ADDRESSES 6. A work of improvement on the property hereinafter described was completed on 7. The name of the contractor, if any, for such work of improvement was 8. . The work done was: The property on which said work of improvement was completed is in the city of (If no contractor for work of improvement as a whole, insert “none”) County of 9. (Date of Contract) , , State of California, and is described as follows: The street address of said property is (If no street address has been officially assigned, insert “none”) Dated: Signature of owner of corporate officer of owner named in paragraph 2 or his agent VERIFICATION I, the undersigned, say: I am the the declarant of the foregoing (“President of,” “Manager of,” “A partner of,” “Owner of,” etc.) notice of completion; I have read said notice of completion and know the contents thereof; the same is true of my own knowledge. I declare under penalty of perjury that the foregoing is true and correct. Executed on , 20 (Date of signature) , at , California. (City where signed) (Personal signature of the individual who is swearing that the contents of the notice of completion are true) American LegalNet, Inc. www.FormsWorkflow.com