Mechanics Lien Form

IN THE CIRCUIT COURT OF THE _____________ CIRCUIT

STATE OF HAWAII

 

 

 

LIENOR

vs.

 

 

 

RESPONDENTS

M.L. NO.

(Mechanic's and Materialsmen's Lien)

LIENOR APPLICATION FOR MECHANIC'S AND MATERIALMAN'S LIEN; NOTICE OF MECHANIC'S AND MATERIALMAN'S LIEN AND DEMAND

DATE:

TIME:

JUDGE:

 

APPLICATION FOR MECHANIC'S AND MATERIALMAN'S LIEN

Lienor,___________________________, hereby files his/its Application for Mechanic's and Materialman's Lien and applies for a Mechanic's and Materialman's Lien pursuant to the provisions of Chapter 507, Part II, Hawaii Revised Statutes, as amended, in the amount of plus any additional amounts which may be shown at the hearing herein, together with interest, court costs, and attorney's fees (if any) for labor, materials, or equipment furnished by Lienor for the construction of improvements on and/or for benefit of the property which is more fully described in the attached Notice of Mechanic's and Materialman's Lien and Demand.

Date:

 

 

 

 

© 2012 Express Lien, Inc. dba Zlien

IN THE CIRCUIT COURT OF THE _____________ CIRCUIT

STATE OF HAWAII

 

 

 

LIENOR

vs.

 

 

 

RESPONDENTS

M.L. NO.

(Mechanic's and Materialsmen's Lien)

LIENOR APPLICATION FOR MECHANIC'S AND MATERIALMAN'S LIEN; NOTICE OF MECHANIC'S AND MATERIALMAN'S LIEN AND DEMAND

DATE:

TIME:

JUDGE:

 

NOTICE OF MECHANIC'S AND MATERIALMAN'S LIEN AND DEMAND

NOTICE IS HEREBY GIVEN that Lienor ______________________, ("Lienor") claims a Mechanic's and Materialman's Lien under the provisions of Chapter 507, Part II, Hawaii Revised Statutes, in the amount of ______________________ ($) plus any additional amounts which may be shown at the hearing herein, together with interest thereon, court costs, and attorneys' fees, for services, materials, equipment, and/or labor furnished by Lienor for the improvement located on on the property located at ________________________________, legally described as ______________________________________________________ ("Property"), that Lienor claims a lien upon the Property and all improvements to the Property. The Property is within the jurisdiction of this Court.

1. Lienor is and was at all relevant times a licensed contractor [if license required for his work] with his principal place of business at _______________________________ .

2. Lienor furnished labor and/or materials for the improvements constructed at the Property

3. Landowner is the fee owner of the Property. OR Owner is the current Lessee of the Property, and the party who contracted for improvements at the Property at ____________________________________________.

4. On or about ___________________, Lienor entered into a contract with the Owner or General Contractor to furnish materials and/or labor in connection with the work described in that contract ("Contract"). A true and correct copy of the Contract is attached hereto as Exhibit "A" and incorporated herein by reference.

5. Pursuant to the terms of the Contract, Lienor was to be paid $______________ upon completion of the work.

 

 

 

 

© 2012 Express Lien, Inc. dba Zlien

6. Lienor performed his obligations under the contract, and furnished labor and/or materials which were incorporated into the property, and which improved the property. Lienor received partial payments of $________, leaving a balance due of $____________. A true and correct copy of the receipt reflecting the partial payment is attached hereto as Exhibit "B" and incorporated herein by reference.

7. Contrary to the terms and conditions of the Contract, Lienor has not been paid for services, labor, and materials, as agreed, and the amount due and owing to the Lienor for the furnishing of said labor and/or materials is ______________________, ($______) plus any additional amounts shown at the hearing herein.

8. At the time of Lienor's filing of his original Application for Mechanic's and Materialman's Lien, forty-five (45) days had not elapsed since the date of filing any Notice of Completion of the improvements on the Property.

WHEREFORE, lienor claims a lien in the amount of ____________________($ ______) plus any additional amounts shown at the hearing herein, against the interests of all persons and entities who have an interest in the Property and upon all improvements thereon.

Lienor hereby claims a lien for the aforementioned services, labor, and/or materials rendered upon the Property on which the same is situated and upon the interestes of the Property

Lienor hereby makes demand upon all of the above-named for payment of  ______________________ ($ __), plus any additional amounts shown at the hearing, which sum is now due, owing, and unpaid to Lienor above-named.

Date:

 

 

 

 

 

© 2012 Express Lien, Inc. dba Zlien

IN THE CIRCUIT COURT OF THE _____________ CIRCUIT

STATE OF HAWAII

 

 

 

LIENOR

vs.

 

 

 

RESPONDENTS

M.L. NO.

(Mechanic's and Materialsmen's Lien)

LIENOR APPLICATION FOR MECHANIC'S AND MATERIALMAN'S LIEN; NOTICE OF MECHANIC'S AND MATERIALMAN'S LIEN AND DEMAND

DATE:

TIME:

JUDGE:

 

AFFIDAVIT OF

STATE OF HAWAII
CITY AND COUNTY OF

__________________________, being first duly sworn upon oath, deposes and says:

1. I am _____________________, doing business as ___________________, the Lienor named in the foregoing Application for Mechanic's and Materialman's Lien ("Application"); Notice of Mechanic's and Materilman's Lien and Demand ("Notice"); and

2. That I have read the Application and Notice and know the contents thereof and that the Application is true to the best of my knowledge.

Print Name

Subscribed and Sworn before me this ________ day of ________________, 20____.

Name of Notary: _____________________; Notary Public State of Hawaii

Commission Expires:

© 2012 Express Lien, Inc. dba Zlien

IN THE CIRCUIT COURT OF THE _____________ CIRCUIT

STATE OF HAWAII

 

 

 

LIENOR

vs.

 

 

 

RESPONDENTS

M.L. NO.

(Mechanic's and Materialsmen's Lien)

LIENOR APPLICATION FOR MECHANIC'S AND MATERIALMAN'S LIEN; NOTICE OF MECHANIC'S AND MATERIALMAN'S LIEN AND DEMAND

DATE:

TIME:

JUDGE:

 

NOTICE OF HEARING

TO:

 

and

Lessee (if any)

Lessee address

NOTICE IS HEREBY GIVEN that the above-entitled Application for Mechanic's and Materialman's Lien shall come on for hearing before the

Honorable ______________________, Judge of the above-entitled Court, in his/her courtroom at _______________________, ________________, Hawaii, on ______________, 20____ at __________ __.M. or as soon thereafter as may be heard.

Date:

 
 
© 2012 Express Lien, Inc. dba Zlien

IN THE CIRCUIT COURT OF THE _____________ CIRCUIT

STATE OF HAWAII

 

 

 

LIENOR

vs.

 

 

 

RESPONDENTS

M.L. NO.

(Mechanic's and Materialsmen's Lien)

LIENOR APPLICATION FOR MECHANIC'S AND MATERIALMAN'S LIEN; NOTICE OF MECHANIC'S AND MATERIALMAN'S LIEN AND DEMAND

DATE:

TIME:

JUDGE:

 

ORDER OF SERVICE

THE STATE OF HAWAII

TO:

THE SHERIFF OF THE STATE IF HAWAII, OR HIS DEPUTY,; THE CHIEF OF POLICE OF THE CITY AND COUNTY OF _____________, OR

HIS ASSISTANT OR ANY POLICE OFFICER:

YOU ARE COMMANDED to serve the within and foregoing Notice of Mechanic's and Materialman's Lien and Demand on the following:

WITNESS the Honorable Judge of the Circuit Court of the __________ Circuit, State of Hawaii.

Date:

 

CLERK OF THE ABOVE COURT

© 2012 Express Lien, Inc. dba Zlien
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