Section 103 Original Contractor's Mechanic's Lien With Lump-Sum Contract

• Library: Construction Law 2004 Forms

+-----------+---+------+
                | State of | ) | ss. |
                +-----------+---+ |
                | | ) | |
                +-----------+---+ |
                | County of | ) | |
                +-----------+---+------+
                

Mechanic's Lien

In accordance with Missouri's Mechanic's Lien laws, [Lien Claimant], a Missouri Corporation located at [full address] ("Lien Claimant"), hereby files the following account for work, labor, machinery, materials, and other improvements that the Lien Claimant furnished under contract with [Owner] ("the Owner") upon, to, and for the building, sheds, fences, sidewalks, appurtenances, and improvements situated on the real estate commonly known as [Street Address], in [County], Missouri, and more specifically described as:

[Legal Description]

("the Property").

The Property belongs to, and is owned by [Owner]. The Lien Claimant's account is filed to impose a lien upon the Property.

The Lien Claimant's account is for the work, labor, materials, and other improvements performed or supplied by the Lien Claimant on the Property under contract with [Owner], owner of the Property, and furnished between the dates of _______________ and _______________.

LABOR PERFORMED AND MATERIALS SUPPLIED as per the attached Statement of Account, which is incorporated herein by reference as Exhibit A [and statement of Work Materials, Equipment, and Labor attached and incorporated by reference herein as Exhibit B] [Exhibit B
is optional, when

...