PAUL D. PATE
MECHANIC’S
LIEN AND
Secretary of State LIEN REGISTRY
State of Iowa
COVER PAGE FOR A
PAPER SUBMISSION OF A
BOND FOR DISCHARGE OF LIEN
ALL ITEMS MUST BE COMPLETED AND A COPY OF THE SURETY BOND MUST BE ATTACHED.
PAPER SIZE OF ANY ATTACHMENTS MUST BE 8 ½ x 11. SUBMITTER INFORMATION FORM MUST
ACCOMPANY THIS FORM. ILLEGIBLE OR INCOMPLETE DOCUMENTS WILL BE REFUSED AND
RETURNED.
1. MNLR NUMBER:
(May be found by searching the MNLR database at https://sos.iowa.gov/mnlr/search)
2. BOND INFORMATION:
Mechanic’s lien amount: This information will prefill from the Mechanic’s Notice and Lien Registry.
Amount of the bond:
Company issuing surety bond:
Company
must be authorized for surety by Iowa
Department
of
Commerce,
Insurance Division. List of authorized
companies may be obtained at the
following W
eb site:
https://data.iowa.gov/Government/Insurance-Companies-Authorized-For-Surety/fy23-jf3m/data
3. THE FOLLOWING INFORMATION WILL BE PREFILLED FROM THE MECHANIC’S NOTICE AND LIEN
REGISTRY. IT IS YOUR RESPONSIBILITY TO VERIFY THE ACCURACY OF THE INFORMATION
CURRENTLY ON RECORD BEFORE FILING:
a. General Contract / Owner Builder: Name and City;
b. Property Owner(s): Name, Mailing address; and
c. Property Information: County, Other counties, Street address or location, Tax parcel ID number, Legal
description.
4. SURETY BOND:
COPY OF SURETY BOND MUST ACCOMPANY THIS FORM. PAPER SIZE OF ANY ATTACHMENTS
MUST BE 8 ½ x 11.
If the MNLR document you have selected was not posted by you, submission of this form is your verification that
it is your intent to post a document based on the information posted by another MNLR user.
NO FEE
SECRETARY OF STATE
Business Services Division
Lucas Building, 1
st
Floor
Des Moines, IA 50319
Phone: (515) 281-5204
Fax: (515) 242-5953
Web site: sos.iowa.gov
BDL
10-13
