Fill and Sign the Alabama Lien Law Primer How to Perfect Form

Statement of Lien Page 1 of 2 STATEMENT OF LIEN State of AlabamaCounty of ___________________________________ ___________________________________ files this statement in writing, verified by the oath of ___________________________________, who has personal knowledge of the facts herein set forth:That said _____________________________________ claims a lien upon the following property, situated in ___________________________________ county, Alabama, to wit: ____________________________________.This lien is claimed, separately and severally, as to both the buildings and improvements thereon, and the said land. That said lien is claimed to secure an indebtedness of ______________________ dollars with interest, from the _____ day of _______________, 20_____, for ____________________________________. The name of the owner or proprietor of the said property is _________________________________. _________________________Signature__________________________Print or Type Name Before me, _____________________________, a notary public in and for the county of _______________, State of _______________, personally appeared ______________________, who being duly sworn, doth depose and say: That he has personal knowledge of the facts set forth in the foregoing statement of lien, and that the same are true and correct to the best of his knowledge and belief. ____________________________________Affiant State of Alabama County of I, __________________ (name and style of officer) hereby certify that _________________________________ whose name is signed to the foregoing conveyance, and who is known to me, acknowledged before me on this day that, being informed of the contents of the conveyance, he executed the same voluntarily on the day the same bears date. Given under my hand this day of , 20 . Statement of Lien Page 2 of 2(Seal) ___________________________Notary Public