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File a lien claim for unpaid contractor or subcontractor invoices with this California Claim of Mechanics Lien form, under CA Civil Code Section 8400. UPDATED FOR 2012.
The lien claim includes:
- The required Notice of Mechanic's Lien.
- Verification by the claimant or authorized agent or signing officer of the claimant.
- Proof of Service Affidavit for service on the owner / reputed owner,
- Alternate Proof of Service Affidavit for service on the construction lender and/or the original contractor.
- Purchase and download the form once, an you can re-use it as often as you require.
This California Claim of Mechanics Lien form is updated to reflect the 2012 amendments to the Civil Code.
Recorded at the request of: NAME: ADDRESS: CITY/STATE/ZIP: When Recorded Mail to Claimant at: NAME: ADDRESS: CITY/STATE/ZIP: Space above for recorder’s use only CLAIM OF MECHANICS LIEN (CA Civil Code 8400 et seq) NOTICE IS HEREBY GIVEN THAT _______________________________________________________________ (give full name as it appears on the contractor’s license, if applicable, or the records of the Secretary of State) (the Claimant), CLAIMS A LIEN UNDER CALIFORNIA CIVIL CODE SECTION 8416 ET SEQ., FOR LABOR, SERVICES, EQUIPMENT AND/OR MATERIALS UPON THE PREMISES HEREINAFTER DESCRIBED AND UPON EVERY ESTATE OR INTEREST IN SUCH STRUCTURES, IMPROVEMENTS AND PREMISES HELD BY ANY PARTY HOLDING ANY ESTATE THEREIN. 1. The mechanics lien is claimed for the following labor, services, equipment and/or materials: (give a general description of the work and/or materials furnished) 2. The above described labor, services, equipment and/or materials were performed or furnished for improvements to that certain parcel of land situated in the County of _______________________, State of California, said land described as follows: Address: OR Description: Legal description / description of job site sufficient for identification 3. After deducting all just credits and offsets, the sum of $___________________, together with interest thereon at the rate of ____________ percent per ____________ from -2- ________________________, 20___ (date when the balance became due), is due to the Claimant for the labor, services, equipment and/or materials furnished by the Claimant. 4. The Claimant furnished the labor, services, equipment and/or materials at the request of, or under contract with: Name: Address: 5. The name(s) and address(es) of the owner or reputed owner of the said premises is/are: Name: Address: Date: Name of Claimant / Company By: Signature of Claimant or Authorized Agent Official Capacity (if any) Address of Claimant: -3- VERIFICATION I, ________________________________________________ [name], state as follows: I am the _______________________________ [describe your role, e.g. claimant, President, Agent, etc. of the claimant.] named in the foregoing Mechanics Lien. I have read said Claim of Mechanics Lien and know the contents thereof; the same is true of my own knowledge. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on __________________, 20____ at _______________________ (city), California. Signature of Claimant or Authorized Agent NOTICE OF MECHANICS LIEN Upon the recording of the enclosed MECHANICS LIEN with the county recorder's office of the county where the property is located, your property is subject to the filing of a legal action seeking a court-ordered foreclosure sale of the real property on which the lien has been recorded. That legal action must be filed with the court no later than 90 days after the date the mechanics lien is recorded. The party identified in the enclosed mechanics lien may have provided labor or materials for improvements to your property and may not have been paid for these items. You are receiving this notice because it is a required
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