Free Supplier's Lien aka Contractor's Lien aka Mechanic's Lien
Supplier's Lien (aka Contractor's or Mechanic's Liens) are used to ensure that all contractors are paid for work performed on a specific property. This lien remains on the property until all contractors are paid in full by the property owner.
Disclaimer:This was not drafted by an attorney & should not be used as a legal document.
Supplier’s Lien
City of ___________
County of _________
State of ___________
RECORDING REQUESTED BY MAIL
Name: __________________________
Address: __________________________
__________________________
The Undersigned, _________________________________________ herein referred to as (“Claimant”) hereby claims a Supplier’s lien for labor, services, equipment and/or materials as described below regarding certain personal property located at; ______________________________________________.
Services performed:
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Company information that performed services:
__________________________________________________________________________________________________________________________________________________________________________
Legal Owner(s) information to personal property:
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Subtotal Due: ______________
Credits: ___________________
Offsets: ___________________
Interests: __________________
Total Due: _________________
Claimant, _______________________ hereby executes this Supplier’s Lien on _________ at ________ by _______________________.
Verification
I, the undersigned, declare I am the ______________ of the _____________, Claimant as named in the foregoing claim of the Supplier’s Lien; I am authorized to make this Verification for the Claimant; I have read the foregoing claim of the Supplier’s Lien and know the contents thereof; the same is true of my own knowledge. I declare under the penalty of perjury.
The forms on this site are provided "As-Is." By using these forms you agree that you are using them at your own risk. Most of the free forms are not prepared by an attorney and may need substantial modification. Additional disclaimers can be found in our Terms of Use.