LA No Work Affidavit

STATE OF LOUISIANA

PARISH OF

BEFORE ME, the undersigned Notary Public, duly commissioned and qualified:

PERSONALLY CAME AND APPEARED:

who declared, under oath to me, Notary, that he is a duly Registered Land Surveyor, and that in accordance with the provisions of La. R. S. 9:4820, he has made an inspection of the following described property, to wit:

That said inspection was made on , _________, at o'clock. Affiant certifies that as of that time and date no work had begun and no material had been furnished to the building site.

Registered Land Surveyor
La. License No:


SWORN TO AND SUBSCRIBED
BEFORE ME, NOTARY, THIS
___________day of ______________,201__

 

____________________________________

NOTARY PUBLIC

Notary or bar no.______________________

My commission expires:________________

 

For issuing guidelines on this form, see Guidelines