Fillable Mechanics Lien RECORDING REQUESTED BY (San Bernardino County Assessor-Recorder-Clerk)

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Mechanics Lien RECORDING REQUESTED BY (San Bernardino County Assessor-Recorder-Clerk)

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RECORDING REQUESTED BY
AND WHEN RECORDED MAIL DOCUMENT TO:
NAME
STREET
ADDRESS
CITY, STATE &
ZIP CODE
SPACE ABOVE THIS LINE FOR RECORDER’S USE ONLY
Mechanic’s Lien
The undersigned, referred to in this claim of lien as the claimant,
(Full name of person or firm claiming mechanic’s lien)
claims a mechanics’ lien for the labor, services, equipment and/or materials described below, furnished for a work of
improvement upon that certain real property located in the County of , State of
California, and described as follows:
Street Address:
Legal Description:
After deducting all just credits and offsets, the sum of $ , together with interest thereon at the
rate of percent per annum from , is due claimant for the following labor, services,
equipment and/or materials:
The name of the person or company by whom claimant was employed, or to whom claimant furnished the labor, services,
equipment and/or materials is
The name(s) and address(es) of the owner(s) or reputed owner(s) of the real property is/are:
Name of Claimant
By
(Signature of claimant)
VERIFICATION
I, the undersigned, state: I am the of,
(Title) (Name of claimant)
the claimant named in the foregoing claim of mechanics’ lien; I am authorized to make this verification for the claimant; I
have read the foregoing claim of mechanics’ lien and know the contents thereof, and the same is true to my own
knowledge.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on , at , California
Note: Proof of Service Affidavit and Notice of Mechanic’s Lien Claim must be attached.
7/1/12%
NOTICE OF MECHANICS LIEN
ATTENTION!
Upon the recording of the enclosed MECHANICS LIEN with the county recorder's office of
the county where the property is located, your property is subject to the filing of a legal
action seeking a court-ordered foreclosure sale of the real property on which the lien has
been recorded. That legal action must be filed with the court no later than 90 days after the
date the mechanics lien is recorded.
The party identified in the enclosed mechanics lien may have provided labor or materials for
improvements to your property and may not have been paid for these items. You are
receiving this notice because it is a required step in filing a mechanics lien foreclosure
action against your property. The foreclosure action will seek a sale of your property in
order to pay for unpaid labor, materials, or improvements provided to your property. This
may affect your ability to borrow against, refinance, or sell the property until the mechanics
lien is released.
BECAUSE THE LIEN AFFECTS YOUR PROPERTY, YOU MAY WISH TO SPEAK WITH
YOUR CONTRACTOR IMMEDIATELY, OR CONTACT AN ATTORNEY, OR FOR MORE
INFORMATION ON MECHANICS LIENS GO TO THE CONTRACTORS STATE LICENSE
BOARD WEB SITE AT www.cslb.ca.gov.
PROOF OF SERVICE AFFIDAVIT
California Civil Code section 8416
Failure to serve the Mechanic’s Lien and Notice of Mechanic’s Lien on the owner, or alternatively if the
owner cannot be served on the lender or direct contractor, shall cause the Mechanic’s Lien to be unenforceable
as a matter of law (Civil Code Section 8024(d)). Service of the Mechanic’s Lien and Notice of Mechanic’s Lien
must be by (1) registered mail, (2) certified mail, or (3) first-class mail evidenced by a certificate of mailing,
postage prepaid, and to a residence or business address for the owner, lender or contractor. Further, a Proof of
Service Affidavit (below) must be completed and signed by the person serving the Mechanic’s Lien and Notice of
Mechanic’s Lien. This page should be completed (either one of the sections below) and recorded with the County
Recorder along with the Mechanic’s Lien and Notice of Mechanic’s Lien.
PROOF OF SERVICE AFFIDAVIT (ON OWNER)
California Civil Code section 8416(a)(7) and (c)(1)
I, ______________________________ (name), declare that I served a copy of this Mechanic’s Lien and Notice
of Mechanic’s Lien by registered mail, certified mail, or first-class mail evidenced by a certificate of mailing,
postage prepaid, addressed as follows to the owner(s) or reputed owner(s) of the property:
Company/Person Served: ____________________________________________________________________
Title or capacity of person served (if appropriate): __________________________________________________
Service address: ____________________________________________________________________________
Said service address is the owner’s residence, place of business, or address showed by the building permit on
file with the permitting authority for the work.
Executed on ___________, 20_____ (date) at __________________ (city), _____________________ (county),
California.
By: ______________________________________
(Signature of person making service)
ALTERNATE PROOF OF SERVICE AFFIDAVIT (ON LENDER OR DIRECT CONTRACTOR)
California Civil Code Section 8416(a)(7) and (c)(2)
I, ____________________________________________________ (name), declare that the owner or reputed
owner cannot be served with a copy of this Mechanic’s Lien and Notice of Mechanic’s Lien by registered mail,
certified mail, or first-class mail. Pursuant to California civil Code section 8416(c )(2), I served a copy of this
Mechanic’s Lien and Notice of Mechanic’s Lien by registered mail, certified mail, or first-class mail evidenced by
a certificate of mailing, postage prepaid, addressed as follows to the construction lender or direct contractor as
follows:
Company/Person Served: ____________________________________________________________________
Title or capacity of person served (If appropriate): __________________________________________________
Service address: ____________________________________________________________________________
Executed on ___________, 20_____ (date) at __________________ (city), _____________________ (county),
California.
By: ______________________________________
(Signature of person making service)
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Mechanics Lien RECORDING REQUESTED BY (San Bernardino County Assessor-Recorder-Clerk)

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Completed 31 January 2021

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