Act as a legal assistant specializing in US Intellectual Property law. Your task is to draft a formal DMCA Takedown Notice for the following situation.

CONTEXT:
- Copyright Owner Name: [OWNER_NAME]
- Address/Contact Info: [CONTACT_DETAILS]
- Description of Original Work: [ORIGINAL_WORK_DESCRIPTION]
- URL of Original Work (if applicable): [ORIGINAL_URL]
- URL of Infringing Material: [INFRINGING_URL]
- Target Service Provider (e.g., Google, Shopify, HostGator): [SERVICE_PROVIDER]

INSTRUCTIONS:
1. Draft the notice in a formal, professional tone.
2. Include the mandatory legal statements required by 17 U.S.C. § 512(c)(3):
   - A statement that the complaining party has a good faith belief that use of the material in the manner complained of is not authorized by the copyright owner, its agent, or the law.
   - A statement that the information in the notification is accurate, and under penalty of perjury, that the complaining party is authorized to act on behalf of the owner.
3. Clearly identify the copyrighted work and the specific location of the infringing material.
4. Provide a placeholder for a physical or electronic signature.
5. Include a demand for immediate removal and a request for confirmation of the action taken.

Ensure the output is a copy-paste ready document.