Notice Of Claim Of Lien

After Recording, mail to:
[Name and address]

NOTICE OF CLAIM OF LIEN

The undersigned claimant hereby claims a mechanic's lien under section_______of the Civil Code of the State of ________________ and hereby declares the following:

1. That a statement of claimant's demand, after deducting all just credits and offsets, in the sum of $ __________ .

2. That the name of the owner[s], or reputed owner[s] of the property is [are] : ___________________________

3. A general statement of the kind of work done or materials furnished by claimant, or both is: [insert] ____________________________

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 sought to be charged with the lien is: [enter full legal description here] _______________________________________.

DATED: ________________

_______________________
[Signature of Claimant]