California Mechanics Lien Template

Information you will need

• County Name
• Filing Date
• Claimant Name
• Claimant Address
• Claimant License Number
• License Number Issue Date
• License Number Expiration Date
• Property Owner Name
• Property Address
• Property Legal Description
• Owner / Contractor / etc
• Contract Date
• Provided Services / Materials
• Contract Price
• Construction Lien Amount
• Payment Received
• Work End Date
• Work Start Date
• Payment Received (so far)
• Claimant Signing Date
• Claimant Printed Name
• Verifier Name
• Verifier Relationship
• Verifier Signing Date

…and 14 more fields in the PDF.

Completed by the recipient and the contractor.

The form includes 3 signature lines.