California Claim of Mechanics Lien Form by Megadox

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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.

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									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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