Pre-Lien Notice to Owner

Pre-Lien Notice to Owner of Mechanics Lien Rights

PROPERTY OWNER (Name & Address)




PRIME CONTRACTOR (Name & Address of Prime Contractor)





SERVICES were or are to be supplied in the improvement and/or construction of real property described as follows (the “PROPERTY”):








NOTIFYING PARTY (Name & Address of Party Sending Notice)




HIRING PARTY (Name & Address of party who hired the NOTIFYING PARTY)





Services, labor, materials, equipment and/or work provided or to be provided by the Notifying Party (“SERVICES”):









(Amount of contract between Notifying Party and Hiring Party to perform the Services at the Property)


THIS IS NOT A LIEN. THIS NOTICE is sent pursuant to the requirements of the Indiana Mechanics Lien Act, as codified in Indiana Code §32-8-3-1.

YOU ARE HEREBY NOTIFIED that the above-identified NOTIFYING PARTY has been employed by the above-identified HIRING PARTY to provide the materials and/or labor above-described as the SERVICES upon the property owned by the PROPERTY OWNER, as above-described and identified as the PROPERTY.

The SERVICES are being provided to the HIRING PARTY pursuant to a contract between the HIRING PARTY and the NOTIFYING PARTY. The total amount of the NOTIFYING PARTY’S contract is above-identified as the AMOUNT OF CONTRACT, which is subject to increase or decrease pursuant to changes in the scope and price of the work.

This Pre-Lien Notice to Owner of Mechanics Lien Rights is intended to inform you, as Owner, that the Notifying Party is a subcontractor or supplier on the project, and as such, has mechanics lien rights pursuant to statute. These lien rights provide that in the event the Prime Contractor and/or Hiring Party do not pay the Notifying Party for its work, or any portion of its work, the Notifying Party may file a lien against the property .

The Owner is cautioned to ensure that adequate funds are available to pay the Notifying Party’s Amount of Contract under the Owner’s contract with the Prime Contractor, and to ensure that funds are paid to the Notifying Party.

Signed and dated this _________ day

of ____________________________, 20_______.



Signed by:




I, __________________________, being duly sworn, deposes and says that I am over the age of 18 years old, that this affidavit is made upon my own personal knowledge, and that on the ________ day of ________________________, 20________, I served the attached Pre-Lien Notice of Mechanic Lien Rights to the following parties at these stated addresses:

[______]   Property Owner

[______]   Hiring Party

[______]   Prime Contractor

[______]   _______________________

I served the attached document:

[______]   By personally delivering the notice to the identified parties;

[______]   By First Class Certified or Registered Mail service, return receipt requested, postage prepaid, and with delivery restricted to the addressee.

State of

County of

Sworn to and subscribed before me, undersigned Notary Public, on the date inscribed to the right of this verification.


Notary Public

Signed this ____ day

of _________________, 20____.


Agent for Notifying Party

Signed by


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