Mechanics Lien SAMPLE

Information you will need

• by Kenneth Hatcher
• certain real property owned by Jim Rhodes
• Bexar County
• Texas
• The Claimant and Raymond Frank
• AFCI electrical outlets
• Received payment of $
• Claimant Signature
• Kenneth Hatcher
• Frank Columbia
• am the Accountant
• Signature
• State of
• County of
• nstrument was acknowledged before me this
• e is subscribed to the within instrument.
• My Commission Expires
• Raymond Frank

The form includes 3 signature lines, a notary acknowledgment.