Recording requested by (name):
____________________________________________
When recorded mail to
and mail tax statements to: 
____________________________________________

____________________________________________

____________________________________________

____________________________________________
	Recorder’s Use Only	
 
NOTICE OF COMPLETION
 	Declaration of Exemption From Gov’t Code § 27388.1 Fee
 Transfer is exempt from fee per GC § 27388.1(a)(2):
 recorded concurrently “in connection with” transfer subject to DTT    
 recorded concurrently “in connection with” a transfer of residential dwelling to an owner-occupier
 Transfer is exempt from fee per GC 27388.1(a)(1):
      Fee cap of $225.00 reached      Not related to real property	
NOTICE IS HEREBY GIVEN:
1.	That the interest or estate stated in paragraph 3 herein in the real property herein described is owned by 
________________________________________________________________________________________________ ________________________________________________________________________________________________.
2.	That the full name and address of the owner of said interest or estate, if there is only one owner, and the full names and addresses of all the co-owners who own said interest or estate as tenants in common, as joint tenants, or otherwise, if  there is more than one owner, are set forth in the preceding paragraph.
3.	That the nature of the title of stated owner, or if more than one owner, then of the stated owner and co-owners is: _____________________________________________________ (e.g. fee leasehold, joint tenancy, etc.).
4.	That on the ______ day of _____________________, 20_____, a work of improvement on the real property herein described was completed.
5.	That the name of the original contractor, if any, for said work of improvement was: ____________________________ 
________________________________________________________________________________________________.
6.	That the name and address of the transferor is: ________________________________________________________
________________________________________________________________________________________________.
7.	That the real property herein referred to is situated in the City of ______________________________, County of ______________________________, State of California and is described as follows: ____________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ 
Date:  ______________, 20_____			__________________________________________
							Owner
							By_______________________________________
							Owner’s Agent	
VERIFICATION
	I, _____________________________________, state: I am the _______________________________________ (“Owner”, “President”, “Authorized Agent”, “Partner”, etc.) of the owner identified in the foregoing 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 under the laws of the State of California that the foregoing to true and correct.
Executed on __________________, 20____ (date), at _________________________ (City), _________ (State).

							__________________________________________
							Signature of Owner or Owner’s Authorized Agent 

PROOF OF SERVICE DECLARATION

I, _________________________________________, declare that I served copies of the above NOTICE OF COMPLETION, (check appropriate box):

☐ a. By personally delivering copies to ______________________________________________________ (name(s) and title(s) of person served at ______________________________________________________ (address) on _____________, 20_____ (date), at _________ (time).
☐ b. By Registered or Certified Mail, Express Mail, or Overnight Delivery by an express service carrier, addresses to each of the parties at the address shown above on _______________________ (date).
☐ c. By leaving the notice and mailing a copy in the manner provided in §415.20 of the California Code of Civil Procedure for service of Summons and Complaint in a Civil Action.
	I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Executed on _____________, 20_____ (date), at  _____________________________ (City), ______ (State).

							______________________________________
							(Signature Person Making Service)