Stop Payment Notice Form (Legal Notice To Withhold Construction Funds)
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1
2STOP PAYMENT NOTICE
LEGAL NOTICE TO WITHHOLD CONSTRUCTION FUNDS
(Public or Private Work of Improvement)
(Per California Civil Code Section 8520, 8530 & 9350)
To:
Project:
__________________________________________________________
_______________________________________
(Name of owner, public entity or construction lender)
(Name)
______________________________________________________________
__________________________________________________
(
Address, if directed to a bank use address of branch holding fund)
(Street Address or Legal Description)
______________________________________________________________
__________________________________________________
(if directed to public entity, to the department or officer whose duty it is to make payments)
Name and address of the Project Owner
:
_____________________________________________________
(or reputed owner)
_____________________________________________________
Name and address of the Direct Contractor:
_____________________________________________________
_____________________________________________________
Name and address of the Construction Lender
:
_____________________________________________________
(if any)
_____________________________________________________
TAKE NOTICE THAT
(Claimant)
______________________________________________________________________________________
(Legal name of the person or firm claiming the stop payment notice)
whose address is
_____________________________________________________________________________________________________
(Address of person or firm claiming stop notice)
has performed labor and furnished materials for a work of improvement described above as Project
The relationship of the
.
Claimant to the other parties is
:____________________________________________________.
The work furnished by claimant is:
______________________________________________________________________________________________
(generally describe
labor, service, equipment, or material furnished or agreed to be furnished by claimant)
The labor and materials were furnished at the request of the following party:
___________________________________________________
_________________________________________________________________________.
Total value of the whole amount of labor and materials agreed to be furnished is
…… $
_______________________
The value of the labor and materials furnished to date is
:
$
……………………………………
_______________________
Claimant has been paid the sum of:
$
……………………………………………………………………………..
_______________________
and there is due, owing and unpaid the sum of:
…………………………………………….
$
_______________________
You are required to set aside sufficient funds to satisfy this claim as provided by law. You are also notified that claimant claims
an equitable lien against any construction funds for this project which are in your hands.
Dated
NAME:
________________________________
______________________________________________
(Name of stop notice claimant)
By:
_________________________________________________
(Owner or agent of stop notice claimant must sign here and verify below)
Authorized Capacity: ______________________________
VERIFICATION
I, the undersigned, state: I am the _______________________________________________________________ of the claimant named in the
(Title - “President”, “Partner”, "Owner", “Agent”, etc.)
foregoing Stop Notice; I have read said Stop Notice and know the contents thereof; the same is true of my own knowledge. I declare under
penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on
20_____, at
California.
______________________________________,
_____________________________________,
(Date this document was signed)
(name of city where stop notice signed)
By: _____________________________________________________________________
(personal signature of the individual who is swearing that the contents of the stop notice are true)
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