NOTICE
OF CLAIM OF LIEN
The undersigned
claimant hereby claims a mechanic`s lien under section [s-SecNumber]
of the Civil Code of the State of [s-State] and hereby declares the
following:
1. That a statement
of claimant`s demand, after deducting all just credits and offsets,
in the sum of [s-CheckAmount].
2. That the name of
the owner[s], or reputed owner[s] of the property is [are]:
[Name(s)]
3. A general
statement of the kind of work done or materials furnished by
claimant, or both is:
[s-Description]
4. That the name[s]
of the person[s] by whom claimant was employed or to whom claimant
furnished the materials is [are]:
5. A description of
the property charged with the lien is:
[s-LegalDescription]
____________________________________ __________________
Signature of
Claimant Date
