CALIFORNIA PRELIMINARY NOTICE

In accordance with section 8102, 8202 and 9303, California Civil Code. THIS IS NOT A LIEN.

This is NOT a reflection on the integrity of any contractor or subcontractor.

Name and address of claimant giving notice:

has furnished or will furnish labor, service, equipment or

material of the following general description:

Description of job site sufficient for identification:

The name of the person or firm who contracted for the

purchase of such labor, services, equipment or material

furnished is:

An estimate of the total price of the labor, services,

equipment or material provided or to be provided is:

$ ____________________________________

NOTICE TO PROPERTY OWNER

EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN FULL,

if the person or firm that has given you this notice is not paid in

full for labor, service, equipment, or material provided or to be

provided to your construction project, a lien may be placed on

your property. Foreclosure of the lien may lead to loss of all or

part of your property. You may wish to protect yourself against

this by (1) requiring your contractor to provide a signed release

by the person or firm that has given you this notice before

making payment to your contractor, or (2) any other method

that is appropriate under the circumstances.

This notice is required by law to be served by the

undersigned as a statement of your legal rights. This notice is

not intended to reflect upon the financial condition of the

contractor or the person employed by you on the construction

project.

If you record a notice of cessation or completion of

your construction project, you must within 10 days after

recording, send a copy of the notice of completion to your

contractor and the person or firm that has given you this

notice. The notice must be sent by registered or certified mail.

Failure to send the notice will extend the deadline to record a

claim of lien. You are not required to send the notice if you are

a residential homeowner of a dwelling containing four or fewer

units.

Date: __________________

Signature: ______________________________________

CONSTRUCTION LENDER OR

REPUTED CONSTRUCTION LENDER

OWNER OR

REPUTED OWNER(S)/PUBLIC ENTITY

DIRECT CONTRACTOR OR

REPUTED DIRECT CONTRACTOR

OTHER

_______________________________

(date)

_______________________________

(place of service)

_______________________________

(date)

_______________________________

(place of service)

_______________________________

(date)

_______________________________

(place of service)

Proof of Notice Declaration

(California Civil Code Section 8118)

I, ______________________________________________________ declare:

Check box that applies:

IF BY MAIL

That I served copies of this Preliminary Notice by registered, certified, or express mail (or overnight delivery by express service

carrier), postage prepaid, on the persons named, at the places and on the date(s) shown below.

IF BY PERSONAL SERVICE

That I served copies of this Preliminary Notice on the persons named, at the places and on the date(s) shown below:

IF PURSUANT TO CCP § 415.20

That I served copies of this Preliminary Notice by leaving the Notice and mailing a copy of the Notice on the persons named, at the

places and on the date(s) shown below:

Lender

Owner or

Public Body

Direct

Contractor

Documentation of service by mail (if served by mail), as required by Civil Code Section 8118, is attached hereto.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Executed on ________________________, at ______________________________________________________, California

(date)

(place of signature)

________________________________________________

(Signature of person making service)