CLAIM OF MECHANICS LIEN

(Also known as: Mechanics Lien Affidavit, Construction Lien, Materialman's Lien)

RECORDING INFORMATION

RECORDING REQUESTED BY:
[NAME]

WHEN RECORDED MAIL TO:
[NAME]
[ADDRESS]
[CITY, STATE ZIP]

SPACE ABOVE THIS LINE FOR RECORDER'S USE

I. CLAIMANT INFORMATION

II. PROPERTY OWNER INFORMATION

III. GENERAL/DIRECT CONTRACTOR INFORMATION

(Complete if Claimant is a subcontractor, sub-subcontractor, or supplier)

IV. HIRING PARTY INFORMATION

(The party who directly hired the Claimant)

V. PROPERTY INFORMATION

VI. WORK/MATERIALS FURNISHED

A. Description of Labor, Services, Equipment, or Materials

[PROVIDE GENERAL DESCRIPTION OF WORK PERFORMED OR MATERIALS SUPPLIED. Examples:]

• [Type of work: framing, electrical, plumbing, HVAC, roofing, etc.]
• [Materials supplied: lumber, concrete, fixtures, equipment, etc.]
• [Services provided: design, engineering, surveying, etc.]

B. Project Timeline

VII. AMOUNT CLAIMED

The amount claimed represents the reasonable value of labor, services, equipment, and/or materials furnished, after deducting all just credits and offsets.

VIII. BASIS FOR LIEN

Claimant's relationship to the project:

☐ Direct/General Contractor — Contract directly with Owner
☐ Subcontractor — Contract with General Contractor
☐ Sub-subcontractor — Contract with Subcontractor
☐ Material Supplier to Contractor — Supplied materials to [NAME]
☐ Material Supplier to Subcontractor — Supplied materials to [NAME]
☐ Equipment Lessor — Provided equipment rental
☐ Laborer — Performed labor on the project
☐ Design Professional — Provided architectural/engineering services
☐ Other: [DESCRIBE RELATIONSHIP]

IX. PRELIMINARY NOTICE COMPLIANCE

(Complete based on state requirements)

☐ Preliminary Notice Required and Given
- Date served: [DATE]
- Served on: ☐ Owner ☐ General Contractor ☐ Lender ☐ Other: [SPECIFY]
- Method: ☐ Certified Mail ☐ Personal Delivery ☐ Other: [METHOD]

☐ Preliminary Notice Not Required
- Reason: [e.g., Direct contractor; state does not require; etc.]

☐ Notice to Owner (NTO) Given (Florida)
- Date: [DATE]

☐ Monthly Notices Given (Texas, if applicable)
- Dates: [LIST DATES]

X. CLAIM OF LIEN

The undersigned Claimant hereby claims a mechanics lien against the above-described property in the amount of $[AMOUNT], plus interest at the legal rate, for labor, services, equipment, and/or materials furnished for the improvement of said property.

This lien claim is filed pursuant to the mechanics lien laws of the State of [STATE].

XI. VERIFICATION

I, [NAME], declare under penalty of perjury under the laws of the State of [STATE] that:

1. I am the Claimant, or I am authorized to act on behalf of the Claimant;

2. I have read the foregoing Claim of Mechanics Lien and know its contents;

3. The matters stated herein are true and correct to the best of my knowledge;

4. The amount claimed is justly due and owing after deducting all just credits and offsets;

5. This claim of lien is not filed for the purpose of harassment or delay.

XII. NOTARY ACKNOWLEDGMENT

(Required in most states)

State of [STATE] )
) ss.
County of [COUNTY] )

On this ___ day of ____________, 20___, before me, the undersigned notary public, personally appeared [NAME], ☐ personally known to me OR ☐ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies).

WITNESS my hand and official seal.

[NOTARY SEAL]

EXHIBIT A — LEGAL DESCRIPTION

[INSERT FULL LEGAL DESCRIPTION OF PROPERTY]

IMPORTANT LEGAL NOTES

State-Specific Deadlines Summary

After Recording This Lien

1. Serve Copy on Owner: Most states require service of a copy of the recorded lien on the property owner within a specified time.

2. Track Enforcement Deadline: You MUST file a lawsuit to foreclose the lien within the statutory period or the lien expires.

3. Monitor for Lien Release Bond: Owner may record a release bond to remove the lien from title. Your claim then attaches to the bond.

4. Respond to Demands: Owner may demand you release the lien. Failure to respond may result in liability for attorney's fees.

Warnings

• Filing a false or excessive lien may expose you to liability for damages, attorney's fees, and in some states, criminal penalties.

• Missing deadlines will result in loss of lien rights. Calendar all deadlines immediately.

• Preliminary notice failures may limit or eliminate lien rights in states that require them.

Recording

File this document with the County Recorder in the county where the property is located. Keep certified copies for your records.