Use this form to prepare your non-residential
affidavits of lien.
Beginning of Form
STATE OF TEXAS
COUNTY OF [NAME OF COUNTY]
MECHANIC'S AND MATERIALMAN'S LIEN AFFIDAVIT
Before me, the undersigned authority, a Notary Public in and for the state of Texas, on this day personally appeared [PERSON MAKING AFFIDAVIT], who being by me here and now duly sworn, upon oath says:
1. "My name is [PERSON MAKING AFFIDAVIT]. I am [TITLE OF PERSON MAKING AFFIDAVIT] of [COMPANY PERSON MAKING AFFIDAVIT WORKS FOR], hereinafter referred to as
'Claimant', and I am duly qualified and authorized to make this affidavit and am personally cognizant of the facts stated herein and that such facts are true and correct.
2. "Claimant has furnished labor and/or materials to improve the property herein described.
3. "[OWNER OF PROPERTY] is the owner or reputed owner of the land herein described and improvements located thereon. The last known address of such owner is [ADDRESS OF OWNER]. [OWNER OF PROPERTY] also has an office at [2ND ADDRESS, IF ANY, OF OWNER].
4. "The materials and/or labor were furnished by the claimant for the improvement of real property in [NAME COUNTY] County, which real property is described as follows:
[LEGAL DESCRIPTION OF PROPERTY]
5. "Claimant is the original contractor for such improvement.
6. "The labor and/or material were furnished under a written contract which is attached hereto and made a part hereof.
7. "The principal amount of the claim is $[DOLLAR AMOUNT OF CLAIM, E.G. $120,082.30], plus interest, and said amount is just and correct and all just and lawful offsets, payments and credits known to the Affiant have been allowed. The materials and/or labor are described as follows:
[DESCRIBE WORK DONE, E.G. General Renovation of Stadium Inn.]
8. "The materials and/or labor were furnished through the month of September 1999.
9. "The Claimant's physical address is [YOUR COMPANY'S PHYSICAL ADDRESS].
10. "Notices of claim were sent to the owner by certified mail on [DATE NOTICES SENT].
11. "The purpose of this affidavit is to claim a mechanic's and materialman's lien on the above described land and
improvements."
Further, affiant sayeth naught.
_______________________
[PERSON MAKING AFFIDAVIT], Affiant
[TITLE OF PERSON MAKING AFFIDAVIT], [COMPANY NAME]
SUBSCRIBED and SWORN to BEFORE ME, on this the [DATE OF AFFIDAVIT] day of MONTH OF AFFIDAVIT], [YEAR OF AFFIDAVIT], to certify which witness my hand and seal of office.
______________________
Notary in and for the State of Texas
After recording, return to:
[YOUR NAME]
[ADDRESS]
End of Form
