Mechanic Lien

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

NOTICE OF MECHANIC'S LIEN

TO: {{owner_name}}

{{owner_address}}

AND TO: Any and all interested parties.

Claimant Information

CLAIMANT: {{claimant_company_name}}

{{claimant_address}}

Phone: {{claimant_phone}}

Email: {{claimant_email}}

Property Information

PROPERTY OWNER: {{owner_name}}

PROPERTY ADDRESS: {{property_address}}

LEGAL DESCRIPTION OF PROPERTY: {{legal_description}}

Description of Labor and Materials Furnished

The undersigned (hereinafter 'Claimant') furnished labor, services, materials, or equipment for the improvement of the property described above. The nature of the labor, services, materials, or equipment furnished is as follows:

{{description_of_work}}

The first date on which labor was performed or material was furnished was {{first_work_date}}.

The last date on which labor was performed or material was furnished was {{last_work_date}}.

Amount Due

The total amount claimed to be due and owing to the Claimant for the labor, services, materials, or equipment furnished is {{currency}} {{amount_due}}. This amount includes, but is not limited to, the following:

{{itemized_costs}}

Interest is claimed on the outstanding balance at a rate of {{interest_rate}}% per annum from {{interest_start_date}} until paid in full.

Contract Information

The labor and materials were furnished pursuant to a contract, agreement, or understanding with:

{{contracting_party_name}}

{{contracting_party_address}}

Date of Contract: {{contract_date}}

Demand for Payment

Payment for the aforementioned labor, services, materials, or equipment has been demanded from the party liable for payment, but despite such demand, payment has not been received in full. A copy of the demand for payment is attached hereto as Exhibit A.

The Claimant hereby gives notice that it claims a lien upon the above-described property, and improvements thereon, to secure payment of the amount due.

Declaration

I, the undersigned, being duly sworn, depose and say that I am the Claimant or an authorized representative of the Claimant named in the foregoing Mechanic's Lien; that I have read the foregoing Mechanic's Lien and know the contents thereof; and that the statements contained therein are true and correct to the best of my knowledge and belief.

Signature Block

DATED this {{day}} day of {{month}}, {{year}}.

_____________________________

{{claimant_signature}}

Name: {{claimant_name}}

Title: {{claimant_title}}

Company: {{claimant_company_name}}