RECORDING REQUESTED BY

WHEN RECORDED MAIL TO

SPACE ABOVE THIS LINE FOR RECORDER'S USE ONLY

Mechanics' Lien
(Claim of Lien)
(To be recorded in the county recorder's office in the county in which the property is located.)
NOTICE IS HEREBY GIVEN: That ________________________________ as claimant claims a lien for labor,
service, equipment, or materials under Section 8000 et Seq. of the Civil Code of the State of California, 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.

Said labor, service, equipment or materials were furnished for the construction of those certain
buildings, improvements, or structures, now upon that certain parcel of land situated in the County of
State of California, said land described as follows:

STREET ADDRESS:
LEGAL DESCRIPTION:

Said lien is claimed for the following labor, services, equipment or materials: (describe labor, services,
equipment, or materials in detail)

Amount due after deducting all just credits and offsets…$___________________

The name of the person or company by whom claimant was employed or to whom claimant furnished
labor, services, equipment, or materials is:

That _____________________________________________________________________________________
_________________________________________________________________________________________
is/are the reputed owner(s) of said building and/or premises, or some interest therein.

DATED: ___________________ Name of Claimant:

By: (Firm Name)

(Signature)

(Authorized Capacity)
VERIFICATION
I, the undersigned, certify that I am the _____________________ of the claimant named in the foregoing
Mechanics' Lien, and that I am informed and believe the facts herein to be true, and, on that ground, al-
lege that the facts stated in the foregoing Mechanics' Lien are true.

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true
and correct.
Executed on , in the City of , State of .

, Its Agent
NOTICE OF MECHANICS LIEN
ATTENTION!
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 le-
gal 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 mechanics lien may have provided labor or materials for im-
provements to your property and may not have been paid for these items. You are receiv-
ing this notice because it is a required step in filing a mechanics 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 af-
fect your ability to borrow against, refinance, or sell the property until the mechanics 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 IN-
FORMATION ON MECHANICS LIENS GO TO THE CONTRACTORS' STATE LICENSE
BOARD WEB SITE AT www.cslb.ca.gov.

PROOF OF SERVICE AFFIDAVIT

California Civil Code section DDQGF

AFFIDAVIT FOR SERVICE ON THE OWNER

California Civil Code Section 8416 (a)(7) and (c)(1)

I,_________________________________(name), declare that I served a copy of this

Mechanics’ Lien and Notice of Mechanics’ Lien by registered mail, certified mail, or
first-class mail, evidenced by a certificate of mailing, postage prepaid, addressed to the
owner(s) or reputed owner(s) of the property:
Name and title of person or entity served: ________________________________________________
Service Address: __________________________________________________________________
Said service address is the owner’s residence, place of business, or address shown by
the building permit on file with the permitting authority for the work.
Executed on _______________________, at _______________________, ________.

By:_________________________
NOTICE OF MECHANICS LIEN
ATTENTION!
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 le-
gal 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 mechanics lien may have provided labor or materials for im-
provements to your property and may not have been paid for these items. You are receiv-
ing this notice because it is a required step in filing a mechanics 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 af-
fect your ability to borrow against, refinance, or sell the property until the mechanics 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 IN-
FORMATION ON MECHANICS LIENS GO TO THE CONTRACTORS
STATE LICENSE
BOARD WEB SITE AT www.cslb.ca.gov.

PROOF OF SERVICE AFFIDAVIT

California Civil Code section DDQGF

$/7(51$7(AFFIDAVIT FOR SERVICE ON THE &216758&7,21/(1'(52525,*,1$/

&2175$&725
California Civil Code Section 8416 (a)(7) and (c)(2)

I,____________________(name), declare that the owner or reputed owner cannot be served with
a copy of this Mechanics' Lien and Notice of Mechanics' Lien by registered mail, certified mail,
or first-class mail. Pursuant to California Civil Code Section 8416(c)(2), I served a copy of this
Mechanics' Lien and Notice of Mechanics' Lien by registered mail, certified mail, or first-class mail,
evidenced by a certificate of mailing, postage prepaid, addressed to the construction lender or
original contractor as follows:
Name and title of person or entity served:
Serivce Address:
Executed on _______________________, at _______________________, ________.

By:_________________________