General Contractor's Mechanics Lien

IInstrument Prepared By
And Recording Requested By:

 

 

 

 

 

 

 

 

 

 

Space Above For Recorderʼs Use

ORIGINAL CONTRACTORʼS CLAIM OF LIEN

In the Office of the Recorder of Deeds

County of ______________, State of Illinois

Claimant: (Name and Address)

 

 

 

 

Property Owner: (Name and Address)

 

 

 

 

Amount of Claim: $

Total Amount of Contract: $

Contract Type:

Date of Contract:

Date Last Furnish of Services:

Services Services, labor, materials, equipment, and/or work provided by the Claimant:

 

 

Property: Services were furnished in the improvement and/or construction of real property described as follows:

 

 

 

County:

State of Illinois

 

Legal Property Description:

 

 

 

© 2012 Express Lien, Inc. dba Zlien

THE UNDERSIGNED LIEN CLAIMANT, above-identified as the Claimant, hereby files a claim for a Mechanic's Lien against the above-identified Property Owner, and all other parties having or claiming an interest in the real estate above-identified as the Property.

The Claimant contracted with the Property Owner by entering into the contract aboveidentified and described as the Contract. The contract was such that the Claimant would provide the above-described Services to the Property for the total cost of the contract, above-identified. The Claimant states that it did so provide the above-described Services.

The Claimant last furnished labor and/or materials to the Property on the date aboveindicated.

After giving the Property Owner all just credits, offsets and payments, the balance unpaid, due and owing to the Claimant is above-identified as the Amount of Claim; for which, with interest, the Claimant claims liens on the Property and improvements.

State of Illinois
County of

On the date indicated to the right of this verification, Claimant, represented by ___________________, personally came and appeared before me, and voluntarily executed this instrument. The deponent says that s/he has read the foregoing Claim of Lien and knows the contents thereof, that as the appointed agent for the Claimant the deponent has been provided the information indicated in this notice, and that the same is true upon the deponent's information, knowledge and belief.

 

Notary Public

Signed on:

Signature:

 

Company:
© 2012 Express Lien, Inc. dba Zlien
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