After Recording, mail to:

[Name and address]



                     NOTICE OF CLAIM OF LIEN



     The undersigned claimant hereby claims a mechanic`s

lien under section_______of the Civil Code of the State of

_________ and hereby declares the following:



     1.  That a statement of claimant`s demand, after

deducting all just credits and offsets, in the sum of

$        .



     2.  That the name of the owner[s], or reputed owner[s]

of the property is [are]:



     3.  A general statement of the kind of work done or

materials furnished by claimant, or both is:



                            [insert]



     4.  That the name[s] of the person[s] by whom claimant

was employed or to whom claimant furnished the materials is

[are]



     5.  A description of the property sought to be charged

with the lien is:  [enter full legal description here].



DATED:  ________________

                                    _______________________

                                    [Signature of Claimant]





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