Subcontractor Lien {CON-109}

SUBCONTRACTOR LIEN 1) The name of the person with whom the subcontract was made by lien claimant is: (General Contractors Name) 2) The Subcontract between the lien claimant and the General Contractor, provided that (Here describe work to be performed and materials to be furnished). 3) The address of the work site is (address) and, so far as known by the claimant, is owned by: (Property owners name). 4) Lien claimant has performed all the labor and provided all the materials required by the Subcontract. [If you quit work due to lack of payment, use the following section 4. Include only one section 4] 4) Lien claimant has to date performed labor and furnished materials pursuant to the Subcontract. 5) To date, the amount of labor and materials furnished by claimant is as follows: (Here specify: amounts of labor & materials, and their costs; attach copies of the Subcontract, receipts, time cards, change orders, and any other pertinent documents) 6) The amount owing and unpaid to lien claimant is (Dollars) 7) Lien claimant hereby claims a mechanics lien for the improvement of the described real property pursuant to (Here cite the appropriate statute) [ This will vary by state, but can be obtained from the library, or registrar of deeds] 8) The legal description of the real property located at (Job site address) is: (Legal description of property) Date: Signed:(Your Signature) (Your Title) State of County of (Your Name) , being first duly sworn, states that he/she has read the foregoing notice of lien and know its contents, and that the statements contained in the foregoing notice are true to his/her personal knowledge. Date Signed: (Your Signature) Notarized by: Notary Seal American LegalNet, Inc. 251 www.FormsWorkFlow.com