Mechanics Lien Form

Instrument Prepared By
And Recording Requested By:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Space Above For Recorder’s Use

State of Alaska

Recording District

The Claimant (Name and Address)

 

 

 

 

vs.

The Property Owner or Reputed Owner (Name and Address)

 

 

 

 

 

 

 

 

© 2012 Express Lien, Inc. dba Zlien
Claim of Lien

A.S. § 34.35.070

Claimant: &(Name and Address)

 

 

 

 

Property Owner: &(Name and Address)

 

 

 

 

The party who hired the Claimant to perform the Services at the Property is (the “Hiring Party”): &(Name and Address)

 

 

 

 

 

 

 

 

 

Services:
Claimant has furnished labor, services, equipment or materials, of the following general description:

 

 

The Property
Property Address where labor, services, equipment or materials are furnished or to be furnished (“Property”)

Address:

 

 

Legal Description:

 

 

 

Total Contract Price: $

Amount Due: $

Amount Due: $

Last Date of Furnishing Services:

 

NOTICE IS HEREBY GIVEN: That the above identified Claimant hereby claims a lien upon the above-identified real property (Property), in the ________________ Recording District. The name and address of the of the Claimant, Property Owner and Hiring Party are all above-identified, as are the Services provided by the Claimant to the Property.

© 2012 Express Lien, Inc. dba Zlien

The contract price for the Services was $____________, on which there remains due and owing the sum of $_____________, plus interest. That ninety (90) days has not elapsed since the Claimant last furnished its Services, as the date said Services were last furnished was on ______________, and that these Services were actually used in the construction of the improvements located thereon.

WHEREFORE, the Claimant claims a lien on the above-described Property in the sum of $_________________, together with interest from _________________, plus legal fees for preparing this lien, and for recording the lien.

Signature:

 

The Lien Claimant

Signed by:

 

Dated:

 

Verification:

STATE OF

COUNTY OF

_______________________________, being first duly sworn, deposes and says: That s/he has read the foregoing document and knows the contents thereof to be true and correct to the best of her/his knowledge and belief.

(Signature)

Subscribed and sworn to or affirmed before me, Notary Public, on the _____ day of _________________, 20____

 

Notary Public

© 2012 Express Lien, Inc. dba Zlien

After Recording,
PLEASE RETURN TO
The Lien Claimant:

 

 

 

 

© 2012 Express Lien, Inc. dba Zlien
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