Free Supplier's Lien aka Contractor's Lien aka Mechanic's Lien

Supplier's Lien (aka Contractor's or Mechanic's Liens) are used to ensure that all contractors are paid for work performed on a specific property. This lien remains on the property until all contractors are paid in full by the property owner.

Disclaimer:This was not drafted by an attorney & should not be used as a legal document.

Supplier’s Lien
City of ___________

County of _________

State of ___________


Name:              __________________________

Address:          __________________________


The Undersigned, _________________________________________ herein referred to as (“Claimant”) hereby claims a Supplier’s lien for labor, services, equipment and/or materials as described below regarding certain personal property located at; ______________________________________________.

Services performed:


Company information that performed services:


Legal Owner(s) information to personal property:


Subtotal Due: ______________

Credits: ___________________

Offsets: ___________________

Interests: __________________

Total Due: _________________

Claimant, _______________________ hereby executes this Supplier’s Lien on _________ at ________ by _______________________.
 I, the undersigned, declare I am the ______________ of the _____________, Claimant as named in the foregoing claim of the Supplier’s Lien; I am authorized to make this Verification for the Claimant; I have read the foregoing claim of the Supplier’s Lien and know the contents thereof; the same is true of my own knowledge.  I declare under the penalty of perjury.

The forms on this site are provided "As-Is." By using these forms you agree that you are using them at your own risk. Most of the free forms are not prepared by an attorney and may need substantial modification. Additional disclaimers can be found in our Terms of Use.