Kansas 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
• Recipient Name
• Recipient Address
• Date of Service
• Time of Service (Hour)
• Time of Service (Minute)
• Other Mail Type
• Recipient at Residence/Workspace
• Area left at Residence/Workspace
• Other Service Method
• Server Signing Date

…and 17 more fields in the PDF.

Completed by the recipient.

The form includes 2 signature lines, a notary acknowledgment.