Tennessee Mechanics Lien

SWORN STATEMENT OF LIEN / NOTICE OF LIEN (TENNESSEE)

Recorded in the office of the register of deeds under T.C.A. Title 66, Chapter 11. The claimant claims a mechanics lien on the real property described below to secure payment for work, labor, materials, services, equipment, or machinery furnished to improve that property.

1. CLAIMANT Name: [CLAIMANT NAME] Role: [PRIME CONTRACTOR / REMOTE CONTRACTOR - SUBCONTRACTOR OR SUPPLIER] Address: [CLAIMANT ADDRESS]

2. OWNER OR REPUTED OWNER Name: [OWNER NAME] Address: [OWNER ADDRESS]

3. HIRING PARTY The claimant furnished the work under contract with, or at the request of: [PERSON OR COMPANY THAT ORDERED THE WORK].

4. PROPERTY Street address: [PROPERTY ADDRESS]. Legal description: [LEGAL DESCRIPTION]. County: [COUNTY].

5. WORK OR MATERIALS FURNISHED General description of the work, labor, materials, services, equipment, or machinery furnished: [DESCRIPTION]. Date first furnished: [FIRST DATE]. Date the improvement was completed or abandoned: [COMPLETION OR ABANDONMENT DATE].

6. AMOUNT OF THE LIEN The amount owed to the claimant, after deducting all just credits and offsets, is: $[AMOUNT].

7. VERIFICATION The claimant, or the claimant's authorized agent, being duly sworn, states that the facts set forth in this statement of lien are true and correct to the best of the claimant's knowledge and belief.

Signature: [SIGNATURE] Printed name and title: [NAME AND TITLE] Date: [DATE] [NOTARY / SWORN ACKNOWLEDGMENT]

NOTE ON THE ENFORCEMENT DEADLINE FOR THIS CLAIMANT:

• If the claimant is a PRIME CONTRACTOR: the lien continues one (1) year after the improvement is complete or abandoned, and a suit to enforce must be brought within that year (T.C.A. 66-11-106).
• If the claimant is a REMOTE CONTRACTOR (subcontractor or supplier): a written notice of lien must be served on the owner within the 90-day recording period (T.C.A. 66-11-115(a)(2)), and the lien continues only 90 days from the date that notice of lien is served, within which an enforcement suit must be brought (T.C.A. 66-11-115(b)).

NOTICE OF NONPAYMENT (served by a remote contractor on a non-residential project on the owner and the prime contractor within 90 days of the last day of each unpaid month, under T.C.A. 66-11-145)

The undersigned remote contractor provided work or materials to improve the property described above during the month of [MONTH AND YEAR] and has not been paid $[AMOUNT] for that work. This notice of nonpayment is given to preserve the right to claim a mechanics lien for that month.

To (owner): [OWNER NAME AND ADDRESS] To (prime contractor): [PRIME CONTRACTOR NAME AND ADDRESS] From (claimant): [CLAIMANT NAME AND ADDRESS] Date served: [DATE]

Note: This Tennessee statement of lien and notices follow T.C.A. Title 66, Chapter 11, including the forms in T.C.A. 66-11-112(d) and 66-11-145. Confirm the current statutory contents and the enforcement deadline for your role, or have this reviewed by an attorney, before you record.