| NORTH CAROLINA |
___________
COUNTY
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NOTICE OF CONTRACT |
| 1. | Name and address of the Contractor: | |
| 2. | Name and address of the owner of the real property at the time this Notice of Contract is recorded: | |
| 3. | General description of the real property to be improved (street address, tax map lot and block number, reference to recorded instrument, or any other description that reasonably identifies the real property): | |
| 4. | Name and address of the person, firm or corporation filing this Notice of Contract: |
| Dated: ______________________. |
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____________________________
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CONTRACTOR
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Filed this the
______ day of _______________, 20___
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________________________________________
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Clerk of Superior
Court
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