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：
[insert]
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]
