After Recording, mail to: [Name and address]
" }9 m) W4 F" L& O7 M. H NOTICE OF CLAIM OF LIEN
- t! d; I, }* h) d1 J s2 @ The undersigned claimant hereby claims a mechanic`s lien under section_______of the Civil Code of the State of
9 e% B+ E5 s- T5 _, H) i( x _________ and hereby declares the following:
9 ]) ]6 M% C: S+ g$ B* y8 P 1. That a statement of claimant`s demand, after deducting all just credits and offsets, in the sum of $ .' x$ U, J3 b3 q0 [6 a( I* c! P& m) B
2. That the name of the owner, or reputed owner of the property is [are]:! S! W( m3 F1 d' m3 R$ B
3. A general statement of the kind of work done or materials furnished by claimant, or both is:
3 j, B: c: F; d- v# Y" ^ [insert]/ m# O2 @6 ^0 ?
4. That the name of the person by whom claimant was employed or to whom claimant furnished the materials is [are]
4 G X6 t' e B* L* g 5. A description of the property sought to be charged with the lien is: [enter full legal description here].# l3 b/ }6 i1 B; P5 ]
DATED: ________________' R" R# I3 V( V3 l4 Y
_______________________ [Signature of Claimant] |