Fill and Sign the Notice of Mechanics and Materialmans Lien and Demand for Payment Hawaii Form

LAND COURT REGULAR SYSTEM (AREA ABOVE RESERVED FOR RECORDING INFORMATION) After Recordation, Return by Mail or Pick-up Phone#: FILL IN NAME AND ADDRESS BELOW: [Click here and type Name] [Click here and type Address] [Click here and type City, St, Zipcode] DOCUMENT CONTAINS [Click here and type number of pages] PAGES Notice of Mechanic’s and Materialman’s Lien Page 1 of 5[Click type ] Return to: [Click here and type Name] [Click here and type Address] [Click here and type City, St, Zipcode] IN THE CIRCUIT COURT OF THE ________________ CIRCUIT STATE OF HAWAII __________________________________ M.L. No. ______________ PLAINTIFF Tax Map Key. No. ______________ VS. NOTICE OF MECHANIC’S AND MATERIALMAN’S LIEN AND DEMAND FOR PAYMENT __________________________________ OWNER/RESPONDENT AND ___________________________________ RESPONDENTS NOTICE OF MECHANIC’S AND MATERIALMAN’S LIEN AND DEMAND FOR PAYMENT NOTICE IS HEREBY GIVEN to the Respondents named above and any other person who has or claims to have an interest in this matter or in the property described in Exhibit A attached hereto, as follows: 1. ________________________________ claims a lien under the provisions of Hawaii Revised Statutes, Chapter 507, Part II, in the principal amount of $ ________________ , together with interest, costs and attorney’s fees, on the property described in Exhibit A, attached hereto, which is hereinafter called the “subject property.” 2. The said lien is claimed for services, materials, equipment and labor furnished by Lienor for ____________________________________________ (describe improvement made to property) on the property described in said Exhibit A. 3. The principal amount of $ __________________ , together with interest, costs and accrued attorney’s fees is presently due and owing to lienor for construction services and materials lienor furnished, which were incorporated and used in the improvement to the real property, located in the City and County of _________________________________ , State of Hawaii, described in Exhibit A. Notice of Mechanic’s and Materialman’s Lien Page 2 of 5 4. This lien is claimed upon the improvements to the said real property and the real property upon which the said improvements are located. 5. This lien is also claimed upon the interests, if any, of the above-named Respondents and their respective heirs, assignees, personal representatives, successors and assigns, as well as any other persons or entities having an interest in said property. 6. Owner/Respondent _______________________________ is a resident of the City and County of _________________________________ , State of Hawaii and is the owner in fee of the real property described at Exhibit A attached hereto. 7. On or about _____ day of ______________ , 20 ______ , Lienor and Owner/Respondent ________________________________ entered into a contract, a true and correct copy of which is attached hereto as Exhibit B, under the terms of which lienor furnished services, labor, materials, and equipment in connection with improvements to that certain real property described at Exhibit A, attached hereto and made a part hereof by reference. 8. Lienor performed all the services and provided all the materials called for in the said contract. 9. Lienor completed the said services and installed the said materials at the subject real property on or about _____ day of ______________ , 20 ______ . 10. After completion, Lienor invoiced Owner/Respondent for the contractually agreed-upon amount by presenting its invoice, a true and correct copy of which is attached hereto as Exhibit C. 11. The amount claimed by Lienor is the fair and reasonable value of the services and materials it supplied as well as the contractual amount. 12. Lienor has repeatedly demanded of Owner/Respondent the amount claimed in the said invoice. 13. Owner/Respondent has repeatedly promised to pay Lienor the said amount, but has failed to pay any of it, so that the full amount remains due and owing. 14. No notice of completion has been published with respect to the subject transaction and no affidavit of publication has been filed at the office of the clerk of the ________________ Circuit Court, State of Hawaii. 15. The City and County of _________________________________ has an interest in the subject property because of unpaid real property taxes and by virtue of the following tax lien: (As used in this pleaded, “Recorded” means at the Bureau of Conveyances, State of Hawaii). Notice of Mechanic’s and Materialman’s Lien Page 3 of 5 Dated: ________________ Recorded: ___________________ Amount: ________________ 16. The State of Hawaii has an interest in the subject property by virtue of the following liens: Dated: ________________ Recorded: ___________________ Amount: ________________ Dated: ________________ Recorded: ___________________ Amount: ________________ Dated: ________________ Recorded: ___________________ Amount: ________________ Dated: ________________ Recorded: ___________________ Amount: ________________ 17. The United States of America has an interest in the subject property by virtue of the following tax liens and notice of pendency: ___________________________________ Dated: ________________ Recorded: ___________________ Amount: ________________ ___________________________________ Dated: ________________ Recorded: ___________________ Amount: ________________ ___________________________________ Dated: ________________ Recorded: ___________________ Amount: ________________ ___________________________________ Dated: ________________ Recorded: ___________________ Amount: ________________ Notice of Mechanic’s and Materialman’s Lien Page 4 of 5 18. Respondent ________________________________ has an interest in the subject property by virtue of its judgment lien against Owner/Respondent, as follows: Dated: ________________ Recorded: ___________________ Amount: ________________ WHEREFORE, Lienor claims a lien in the principal amount of $ __________________ , together with interest, costs and attorney’s fees, upon and against the subject property and upon all improvements thereon, and upon the interests of the above named Respondents and all persons or entities who have interests in the subject property and upon all improvements thereon. Lienor further makes demand upon all respondents for payment of the principal amount of $ ___________________ , together with interest, costs and attorney’s fees. Lienor asks for such further relief as this Court shall deem just and proper. Dated: __________________ , Hawaii, _____ day of _________ , 20 ______ . ____________________________ Signature _____ _______________________ Type or Print Name Capacity _____ ________________ Notice of Mechanic’s and Materialman’s Lien Page 5 of 5