Section 50 By Original Contractor

• Library: Mechanics Liens 2015 Forms

2. (§50) By Original Contractor

In the Circuit Court of ___________ County

Statement of Mechanic’s Lien

[by Original Contractor]

[Lien Claimant] ___________, a ____________ corporation (hereinafter “lien claimant”), with its principal place of business located at ____________ and with a view toward availing itself of the statutes relating to mechanic’s liens, files the account set out on the attached Exhibit A, made a part hereof for all purposes, for work and labor performed and materials furnished by it under contract with ____________, the owner, for real estate located at [address] ____________, in ____________ County, Missouri. A true and correct legal description of the property (hereinafter “subject real estate”) is:

[lengthy descriptions may be attached

by separately identified exhibit]

The fee simple title to the above premises and to the improvements thereon is presently held by ____________. The fee simple title to the above premises was held by ____________ on the dates that lien claimant’s work, labor, materials, fixtures, and machinery were contracted for and provided or furnished for the subject real estate.

The account described on the attached Exhibit A is being filed herewith so that it may constitute a lien on the subject real estate. The last date work and labor were performed on the subject real estate by the lien claimant was the ____ day of ____________, 20___.

Labor performed and materials supplied as per statement of account attached to and incorporated in this statement by reference...