Fill and Sign the Oklahoma Lien Form

NOTICE OF FILING LIEN STATEMENT-INDIVIDUAL (Okla. Stat. Ann. § 42-14 3.1 ) STATE OF OKLAHOMA ) ) ss COUNTY OF ___________________ ) TO: (Name) _________________________________ (Address) _______________________________ ________________________________________ YOU ARE HEREBY NOTIFIED that _________________________________ , as claimant whose address is ________________________________________ , filed on the _____ day of ________________ , 20 ______ , a statement under oath claiming a mechanic’s lien, the same being No. ______________ against __________________________________ whose address is ________________________________________ , and the following legally described property and the improvements thereon located, owned by you, for labor and materials performed and furnished by the claimant: _______________________________________________________________________ . YOU ARE FURTHER NOTIFIED that under the lien statement, the claimant claims a lien on the premises in the sum of $ ______________ , the amount due under the contract with _________________________________ for labor and materials performed and furnished upon the improvements erected on the premises. This the _____ day of ______________ , 20 ______ . __________________________________ Signature _____ _____________________________ Type or Print Name The undersigned hereby certifies that the original copy of the Notice of Filing Lien Statement was mailed to __________________________________, at the address above shown, by Certified Mail No. _________________, return receipt requested, with postage prepaid thereon, this _____ day of _____________, 20_______. ______________________________ County Clerk ______________________________ Deputy Notice of Filing Lien Statement Page 1 of 1