REQUEST FOR STOP NOTICE

To: RCS Date_______________

Fax No.: 602-279-3789 Phone No. 602-279-7990

Please prepare a Stop Notice for the following:

Job Name____________________________________

Job Address__________________________________

Please check which stop notice you want:

Bonded Stop Notice___ (requires you to post a 125% bond of the claim amount from your bonding company). Lender or owner must is compelled to stop flow of funds once they are served

Unbonded Stop Notice___(does not require a bond). Lender or owner is served, but they are not compelled to hold funds.

The date of the first shipment of materials or labor supplied was__________

The date of the last shipment of materials or labor supplied______________

The exact dollar amount that is due on this project is $_________________

I am enclosing copies of CONTRACTS, INVOICES, ARIZONA 20 DAY NOTICES and other pertinent information.

As the person requesting this preparation, I understand preparation of the Stop Notice is a SERVICE ONLY, and that RCS assumes no responsibility or liability for the actual contents of the completed form and RCS shall not be responsible for errors contained in the source information. On behalf of the company, I further agree to hold RCS harmless for any claim which may arise from RCS having prepared a Stop Notice relative to this request.

Company Name________________________ Phone____________

Signature & Title of person authorizing this Stop Notice request:

_______________________________ ___________________

Signature Title