After Recording, mail to:
[Name and address]
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[s], or reputed owner[s] of the property is [are]:
3.? A general statement of the kind of work done or materials furnished by claimant, or both is:
[]
4.? That the name[s] of the person[s] by whom claimant was employed or to whom claimant furnished the materials is [are]
5.? A description of the property sought to be charged with the lien is:? [enter full legal description here].
DATED:? ________________
_______________________ [Signature of Claimant]