Ca Preliminary 20 Day Notice

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CALIFORNIA PRELIMINARY 20-DAY NOTICE (PUBLIC WORKS OF IMPROVEMENT)
THIS IS NOT A LIEN. THIS NOTICE IS GIVEN PURSUANT TO CIVIL CODE SECTION 3097.
DATE _____________________
YOU ARE HEREBY NOTIFIED THAT THE UNDERSIGNED HAS FURNISHED OR WILL FURNISH LABOR, SERVICES, EQUIPMENT
OR MATERIAL OF THE FOLLOWING DESCRIPTION:
DESCRIPTION OF LABOR, SERVICES, EQUIPMENT OR MATERIAL SUPPLIED, OR
PERSON FURNISHING LABOR, SERVICES EQUIPMENT OR MATERIAL
TO BE SUPPLIED
(NAME)
(ADDRESS)
(CITY)
(STATE)
(ZIP)
THE NAME AND ADDRESS OF PERSON CONTRACTING FOR THE ABOVE (YOUR
TO: OWNER OR REPUTED OWNER
CUSTOMER) IS:
TO: PRIME, REPUTED, OR ORIGINAL CONTRACTOR
JOBSITE (STREET AND LEGAL DESCRIPTION (IF KNOWN)):
TO: CONSTRUCTION LENDER OR REPUTED CONSTRUCTION LENDER
AN ESTIMATE OF THE TOTAL PRICE OF THE LABOR, SERVICES, EQUIPMENT OR
MATERIALS FURNISHED OR TO BE FURNISHED IS: $__________________________
TRUST FUNDS TO WHICH SUPPLEMENTAL FRINGE BENEFITS ARE PAYABLE
(NAME AND ADDRESS)
(ONLY SUBCONTRACTORS ARE REQUIRED TO IDENTIFY THE TRUST FUND)
(Signature)
(Date)
(Name of Person Signing)
(Title)
PROOF OF SERVICE AFFIDAVIT (CIVIL CODE § 3097.1)
I, ____________________________________________, declare that I served copies of the above PRELIMINARY NOTICE (check appropriate box).
(a) [ ] By personally delivering copies to _______________________________________________________________________________________________
______________________________________________________________ (name and title of person served) at ______________________________________________
___________________________________________________________________________________________ (Address) on __________________________________
_____________________________ (date), at ___________________________________(time).
(b) [ ] By First Class Certified or Registered Mail service, postage prepaid, addressed to each of the parties at the address shown above on
________________________________________________, ____________.
I declare under penalty of perjury under the laws of the state of California that the foregoing is true and correct.
Signed at ___________________________________, California, on ___________________________, __________.
[ATTACH RECEIPTS OF CERTIFIED OR REGISTERED MAIL WHEN RETURNED]
SIGNATURE OF PERSON MAKING SERVICE
Form/Prelim 20

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