"Claim of Lien Form"

What Is a Claim of Lien?

A Claim of Lien is a legal instrument that lets suppliers and contractors receive the money they have earned for the work and improvements to another party's property. Typically used by construction and repair professionals on private projects they worked on, this kind of claim represents security against the monetary funds and services the property owner has to pay for to another individual or organization. It becomes a burden - if the lien is attached to the house or car in question, you cannot transfer the title to the property without paying off the lien first.

Alternate Name:

  • Lien Claim.

The most common type of lien is a lien on real estate - homeowners who owe money to their contractors may encounter this limitation if they still have to pay for the labor and materials spent on their apartment or house built from scratch or improved by builders. Liens are also used by auto and boat mechanics - when the vehicle or vessel owner does not pay for the repair and maintenance services, their certificate of title can be encumbered with a lien.

Certain states allow creditors to obtain a lien on personal possessions of their debtors - shares, precious metals, electronics, or other valuable objects. Check the laws of your state to see if you can claim a lien with the county recorder's office. You can download a Claim of Lien template below.

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How to File a Claim of Lien?

Before you choose to take a further step and protect your interests with a Claim of Lien, you should give another party one more chance to pay you back. To do so, send them a Notice of Intent to Lien via certified mail. You can give the debtor a deadline - a date by which they can redeem the item. If they have ignored your notice or chose not to pay the debt, you may move on and file a Claim of Lien.

Usually, a Claim of Lien Form includes the name and address of the contractor or mechanic and the property owner, the amount of lien claimed, a description of the property, and a list of services and materials you have provided for the property owner without receiving the payment for it.

To submit your Claim of Lien Paperwork, you need to present your claim to the local recorder's office or state agency. The clerk will confirm your rights to file a Claim of Lien Form and approve it. Then, the notice about the lien will be sent to the current real estate or vehicle holder - they will know that you have taken the action to keep possession of their property until the debt is paid in full.


Still looking for a particular template? Take a look at the related templates below:

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Download "Claim of Lien Form"

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Claim of Lien
STATE OF​
_ __________________
COUNTY OF ​
_ _______________
Before me, the undersigned notary public, personally appeared ____________________,
who was duly sworn and says that they are [​
L ienor or Agent of Lienor​
] whose address is
_____________________________________________________ and that in accordance
with a contract with ____________________, the lienor furnished labor, services, or
materials consisting of ____________________________________________________
______________________________________ on the following described real property:
________________________________________________________________________
Street Address
________________________________________________________________________
City, State, ZIP Code
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Legal Description
This real property is owned by ____________________ and has a total value of
$________, of which there remains unpaid principal of $________, plus finance charges
through ____________________, in the amount of $________, and additional finance
charges that accrue to the date of payment; and furnished the first of the items on
____________________, and the last of the items on ____________________; and (if
the lien is claimed by one not in privity with the owner) that the lienor served his notice
to owner on _________________, by [​
M ethod of Delivery​
] ; and (if required) that the
lienor served copies of the notice on the contractor, _________________, on
_________________,
by
[​
M ethod
of
Delivery​
] ,
and
on
the
subcontractor,
_________________, on _________________.
_________________________________
_________________________________
Printed Name of Lienor/Agent
Signature of Lienor/Agent
________________________________________________________________________
Address
©​ ​ ​ ​
T EMPLATEROLLER.COM​
Claim of Lien
STATE OF​
_ __________________
COUNTY OF ​
_ _______________
Before me, the undersigned notary public, personally appeared ____________________,
who was duly sworn and says that they are [​
L ienor or Agent of Lienor​
] whose address is
_____________________________________________________ and that in accordance
with a contract with ____________________, the lienor furnished labor, services, or
materials consisting of ____________________________________________________
______________________________________ on the following described real property:
________________________________________________________________________
Street Address
________________________________________________________________________
City, State, ZIP Code
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Legal Description
This real property is owned by ____________________ and has a total value of
$________, of which there remains unpaid principal of $________, plus finance charges
through ____________________, in the amount of $________, and additional finance
charges that accrue to the date of payment; and furnished the first of the items on
____________________, and the last of the items on ____________________; and (if
the lien is claimed by one not in privity with the owner) that the lienor served his notice
to owner on _________________, by [​
M ethod of Delivery​
] ; and (if required) that the
lienor served copies of the notice on the contractor, _________________, on
_________________,
by
[​
M ethod
of
Delivery​
] ,
and
on
the
subcontractor,
_________________, on _________________.
_________________________________
_________________________________
Printed Name of Lienor/Agent
Signature of Lienor/Agent
________________________________________________________________________
Address
©​ ​ ​ ​
T EMPLATEROLLER.COM​
STATE OF​
_ __________________
COUNTY OF ​
_ _______________
Sworn to and subscribed before me by ____________________ who is personally known
to me or produced ____________________ as identification, and who did take an oath,
this _____ day of ____________________.
_________________________________
Printed Name of Notary Public
_________________________________
Shareholder of Notary Public
My commission expires: ___________________
(seal)
©​ ​ ​ ​
T EMPLATEROLLER.COM​
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