Mechanic's Lein Contract
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Effective Date: ____/____/______
The Claimant [Legal Name], AKA (The Claimant)
Located at [Address]
[City], [State] [Zip Code]
Claims a Mechanic's Lien upon the following described real property:
Located at [Address]
[City], [State] [Zip Code]
General Description of Property where work or materials were furnished:
________________________________
________________________________
________________________________
The sum of $__________ is the claim amount together with interest thereon at the rate of
________ percent per annum from ____/____/______, is due the above mentioned claimant (after deducting all just credits and offsets) for the following work and materials furnished by the claimant:
Description of the work or materials furnished:
________________________________
________________________________
________________________________
Claimant furnished the work and materials at the request of, or under contract, with:
Name of the individual that ordered the above mentioned work:______________
The owners of the property are:
________________________________.
Firm Name:_____________________.
By:
___________________________
Signature of Claimant
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