After Recording, mail to:
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, or reputed owner of the property is :
3. A general statement of the kind of work done or materials furnished by claimant, or both is:
4. That the name of the person by whom claimant was employed or to whom claimant furnished the materials is
5. A description of the property sought to be charged with the lien is: .
DATED: ________________
_______________________
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