RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO (Name) (Street Address) (City, State and Zip) SPACE ABOVE THIS LINE FOR RECORDERS USE MECHANIC'S LIEN The Undersigned (Name of person or firm claiming Mechanic's Lien, Contractors use name exactly as it appears on contractor's license) , claimant claims a Mechanic's Lien upon the following real property: City of County of State of (General Description of property where the work or materials were furnished. A street address is sufficient, but it possible, use both street address and legal description) The sum of (Amount of claim due and unpaid) together with interest thereon at the rate of (So. net. an page 2) percent per annum from (Date when balance came due) , 19 is due claimant (after deducting all just credits and offsets for the following work and material furnished by claimant: (Insert general description of the work and materials furnished) Claimant furnished the work and materials at the request of, or under contract, with: The owners and reputed owner's of the property are: (Insert name of owner of real property. They can be obtained from the County Recorder or by checking the building permit application at the Building Department) Firm Name: (See instructions on page 2 for proper signings) By: (Signature of claimant or authorized agent) VERIFICATION I, the undersigned, say: I am the ("President of, "Manager of, "A partner of," "Owner of," etc.) Claimant of the foregoing mechanic's lien; I have read the claim of the mechanic's lien and know the contents thereof; the same is true of my own knowledge I declare under penalty of perjury the foregoing is true and correct. Executed on (Date of Signature) , 19 at (City add State) (Personal Signature of the Individual who is swearing that the contents of the claim of mechanics lien are true) 2001 © American LegalNet, Inc. American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS INFORMATION REGARDING USE OF RELEASE OF MECHANIC'S LIEN When a mechanic's lien is recorded in the office of the County Recorder of the country in which the job is located, it creates a ''cloud'' on the title. This means that any person seaching the title will discover the claim of lien and generally will not purchase, refinance, or accept the property as security for a debt without having the owner ''clear up'' the title. The simplest way to clear up the title is for the lien claimant to sign and record a release of his claim. This is generally done after payment of the claim. REMEMBER, mere satisfaction of the claim does not remove a recorded claim of lien from the official records of the county. A formal document, such as Form 109, must be recorded to become part of the official records. UNENFORCEABLE LIENS There are times when a mechanic's lien claim is unenforcable (for example, if the claim of lien was not filed within the time allowed by law). However, it may still be a ''cloud'' on the title. The ''cloud'' can be removed by recording a release of the claim. RECORDING INFORMATION The mechanic's lien release must be recorded in the county where the job is located. The current fee for recording one page is $2.00, plus .80c for each additional page or fraction thereof. However, this price is subject to change and should be checked with the County Recorder's Office, since the recorder will not record a document unless it is accompanied by the correct fee. IF YOU HAVE ANY DOUBT AS TO PROPER PROCEDURE, CONSULT YOUR ATTORNEY American LegalNet, Inc. www.FormsWorkFlow.com 2001 © American LegalNet, Inc.