RECORDING REQUESTED BY: )

)

)

WHEN RECORDED, MAIL TO: )

)

)

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______

The space above this line is for recorder’s use

NOTICE AND CLAIM OF MECHANICS’ LIEN

NOTICE IS HEREBY GIVEN that the undersigned claimant, ______, (“Claimant”), whose address is ______, claims a lien for labor, materials, services and/or equipment to be used and actually used in that certain work of improvement (“Project”) consisting of the construction project, in the City of ______, County of ______, State of California, which has been designated as APN #______, and which is described as follows:

commonly known as: ______.

The labor, services, materials and/or equipment furnished by Claimant to the Project are of the following type: ______.

Said work of improvement as a whole and the whole and all of said building(s) and land above described are sought to be charged with the lien.

The name of the contractor to or for whom the labor, services, materials and/or equipment as done or furnished is: ______.

The owner(s) or reputed owner(s) of the Project and the real property where the Project is located is:

______.

The sum of $______ together with interest thereon at the statutory rate is due claimant, after deducting all just credits and offsets, for the above-described labor, services, and material.

______, Claimant

______

Name: ______

Title: ______

NOTICE OF MECHANIC’S LIEN
ATTENTION!


Upon the recording of the enclosed MECHANIC’S 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 mechanic’s lien is recorded.
The party identified in the mechanic’s 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 step in filing a mechanic’s lien foreclosure action against your property. The foreclosure action will seek a sale of your property in order to pay for unpaid labor, materials, or improvements provided to your property. This may affect your ability to borrow against, refinance, or sell the property until the mechanic’s lien is released.
BECAUSE THE LIEN AFFECTS YOUR PROPERTY, YOU MAY WISH TO SPEAK WITH YOUR CONTRACTOR IMMEDIATELY, OR CONTACT AN ATTORNEY, OR FOR MORE INFORMATION ON MECHANIC’S LIENS GO TO THE CONTRACTORS’ STATE LICENSE BOARD WEB SITE AT www.cslb.ca.gov.


Dated: ______

______
(Claimant)

By: ______
(Signature)

______
(Print or Type Name/Title)

VERIFICATION

I, the undersigned, say: I am the authorized agent of the Claimant of the foregoing mechanics’ lien. I have read the mechanics’ lien and know the contents thereof; the same is true of my own knowledge. I declare under penalty of perjury that the foregoing is true and correct.

Executed on ______at ______, California.

______

Name: ______

Title: ______


CERTIFICATE OF ACKNOWLEDGEMENT

STATE OF CALIFORNIA / )
) ss
County of ______/ )

On ______, 200__ before me, ______, [name of notary] Notary Public, personally appeared ______, [name(s) of signer(s)] who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.


Signature : ______(Seal)

PROOF OF SERVICE AFFIDAVIT


I,______, declare that I served the above Mechanic’s Lien by (check appropriate box below):

[ ] Personally delivering a copy to :

______
(Name and title or capacity of person served)

at______,

______
(Address)

on ______,______, at ______m.
(Date) (Year) (Time)


[ ] By First Class Certified or Registered Mail service, postage prepaid, return receipt requested, addressed to the party at the address shown below:

______

______

______
(Name/Address)


I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Signed at ______,______
(Location)

on ______
(Date)

Signature of person making service:

______