{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/43-10.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/43-10.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/43-10.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/43-10.html"}],"law_id":72410,"edition_id":1,"section_id":72410,"structure_id":14160,"section_number":"43-10","catch_line":"Sufficiency of memorandum, affidavit and notice required by \u00a7 43-9","history":"Code 1919, \u00a7 6429; 1968, c. 568; 1984, c. 647; 2007, c. 504; 2013, c. 293; 2019, c. 243.","full_text":"The memorandum, affidavit and notice required by \u00a7 43-9 shall be sufficient if substantially in form and effect as follows:\n\t\tMemorandum for Mechanic&#8217;s Lien Claimed by Sub-subcontractor.\n\t\tName of owner: ___________________________________________________________________________\n\t\tAddress of owner: ___________________________________________________________________________\n\t\tName of general contractor (if any) and subcontractor:\n\t\t___________________________________________________________________________\n\t\tName of claimant:  ___________________________________________________________________________\n\t\tAddress of claimant:  ___________________________________________________________________________\n\t\tContractor license or certificate number of claimant\n\t\t(if applicable): ___________________________________________________________________________\n\t\tIssuance date of license or certificate\n\t\t(if applicable): ___________________________________________________________________________\n\t\tExpiration date of license or certificate\n\t\t(if applicable): ___________________________________________________________________________\n\t\tIf no contractor license or certificate number is included, the claimant certifies that such a valid license or certificate is not  required by law for the work done for which the benefit of a lien is claimed.\n\n1\n\nType of materials or services furnished:  ___________________________________________________________________________\n\t\t\t___________________________________________________________________________2\n\nAmount claimed: $ ___________________________________________________________________________\n\t\t\tIf any part of the Amount claimed is not due as of the date of this mechanic&#8217;s lien, identify the date or event upon which it will be due, and the sum(s) to which the due date(s) or event(s) apply: ___________________________________________________________________________3\n\nType of structure on which work done or materials furnished: ___________________________________________________________________________\n\t\t\t___________________________________________________________________________4\n\nBrief description and location of real property: ___________________________________________________________________________\n\t\t\t___________________________________________________________________________5\n\nDate from which interest on above amount is claimed:\n\t\t\tDate: ____________________________\n\t\t\tIt is the intent of the claimant to claim the benefit of a lien.\n\t\t\t____________________________  (Name of claimant).\n\t\t\t______________ (Signature of claimant or agent for claimant).\n\t\t\tAffidavit.\n\t\t\tState of Virginia,\n\t\t\tCounty (or city) of ________________________, to wit:\n\t\t\tI, ___________________________________________________________________________ (notary or other officer) for the county (or city)\n\t\t\taforesaid do certify that ___________________________________________ claimant, or ___________________________________________, agent for claimant, this day made oath before me in my county (or city) aforesaid that _______________ is justly indebted to claimant in the sum of __________ dollars for the consideration stated in the foregoing memorandum, and that the same is payable as therein stated.\n\t\t\tGiven under my hand this the &#8230;&#8230;&#8230;&#8230;&#8230;. day of &#8230;&#8230;&#8230;&#8230;&#8230;, 20&#8230;.\n\t\t\t________________________________________ (Notary Public or\n\t\t\tMagistrate, et cetera.)\n\t\t\tNotice.\n\t\t\tTo __________________________ (owner) and __________________________ (general contractor):\n\t\t\tYou are hereby notified that ___________________________________________________________________________ , a subcontractor under you,\n\t\t\tsaid ___________________________________________________________________________ (general contractor) for the construction (or removal,\n\t\t\tetc.,) of a ___________________________________________________________________________  (describe structure) for you, or on property owned by\n\t\t\tyou, said ___________________________________________________________________________  (owner) is indebted to me in the sum of &#8230;&#8230;&#8230;&#8230;.\n\t\t\t&#8230;&#8230;&#8230;&#8230;&#8230;.. dollars ($ ______________) with interest thereon from the &#8230;. day of &#8230;&#8230;., 20&#8230;, for work done (or materials furnished) in and about the construction (or removal, etc.,) of _________________________  (naming structure), situate in the county (or city) of _______________ Virginia, and that I have duly recorded a mechanic&#8217;s lien for the same.\n\t\t\tGiven under my hand this the &#8230;&#8230;&#8230;&#8230;&#8230;&#8230; day of &#8230;&#8230;&#8230;&#8230;&#8230;, 20&#8230;&#8230;.\n\t\t\t__________________________________________________ (Sub-subcontractor).","order_by":null,"text":{"0":{"id":260811,"text":"The memorandum, affidavit and notice required by \u00a7 43-9 shall be sufficient if substantially in form and effect as follows:\n\t\tMemorandum for Mechanic&#8217;s Lien Claimed by Sub-subcontractor.\n\t\tName of owner: ___________________________________________________________________________\n\t\tAddress of owner: ___________________________________________________________________________\n\t\tName of general contractor (if any) and subcontractor:\n\t\t___________________________________________________________________________\n\t\tName of claimant:  ___________________________________________________________________________\n\t\tAddress of claimant:  ___________________________________________________________________________\n\t\tContractor license or certificate number of claimant\n\t\t(if applicable): ___________________________________________________________________________\n\t\tIssuance date of license or certificate\n\t\t(if applicable): ___________________________________________________________________________\n\t\tExpiration date of license or certificate\n\t\t(if applicable): ___________________________________________________________________________\n\t\tIf no contractor license or certificate number is included, the claimant certifies that such a valid license or certificate is not  required by law for the work done for which the benefit of a lien is claimed.","type":"section","prefixes":[""],"prefix":"","entire_prefix":"","prefix_anchor":"","level":1,"next_prefix":"1"},"1":{"id":260812,"text":"Type of materials or services furnished:  ___________________________________________________________________________\n\t\t\t___________________________________________________________________________","type":"section","prefixes":["1"],"prefix":"1","entire_prefix":"1","prefix_anchor":"1","level":1,"prior_prefix":"","next_prefix":"2"},"2":{"id":260813,"text":"Amount claimed: $ ___________________________________________________________________________\n\t\t\tIf any part of the Amount claimed is not due as of the date of this mechanic&#8217;s lien, identify the date or event upon which it will be due, and the sum(s) to which the due date(s) or event(s) apply: ___________________________________________________________________________","type":"section","prefixes":["2"],"prefix":"2","entire_prefix":"2","prefix_anchor":"2","level":1,"prior_prefix":"1","next_prefix":"3"},"3":{"id":260814,"text":"Type of structure on which work done or materials furnished: ___________________________________________________________________________\n\t\t\t___________________________________________________________________________","type":"section","prefixes":["3"],"prefix":"3","entire_prefix":"3","prefix_anchor":"3","level":1,"prior_prefix":"2","next_prefix":"4"},"4":{"id":260815,"text":"Brief description and location of real property: ___________________________________________________________________________\n\t\t\t___________________________________________________________________________","type":"section","prefixes":["4"],"prefix":"4","entire_prefix":"4","prefix_anchor":"4","level":1,"prior_prefix":"3","next_prefix":"5"},"5":{"id":260816,"text":"Date from which interest on above amount is claimed:\n\t\t\tDate: ____________________________\n\t\t\tIt is the intent of the claimant to claim the benefit of a lien.\n\t\t\t____________________________  (Name of claimant).\n\t\t\t______________ (Signature of claimant or agent for claimant).\n\t\t\tAffidavit.\n\t\t\tState of Virginia,\n\t\t\tCounty (or city) of ________________________, to wit:\n\t\t\tI, ___________________________________________________________________________ (notary or other officer) for the county (or city)\n\t\t\taforesaid do certify that ___________________________________________ claimant, or ___________________________________________, agent for claimant, this day made oath before me in my county (or city) aforesaid that _______________ is justly indebted to claimant in the sum of __________ dollars for the consideration stated in the foregoing memorandum, and that the same is payable as therein stated.\n\t\t\tGiven under my hand this the &#8230;&#8230;&#8230;&#8230;&#8230;. day of &#8230;&#8230;&#8230;&#8230;&#8230;, 20&#8230;.\n\t\t\t________________________________________ (Notary Public or\n\t\t\tMagistrate, et cetera.)\n\t\t\tNotice.\n\t\t\tTo __________________________ (owner) and __________________________ (general contractor):\n\t\t\tYou are hereby notified that ___________________________________________________________________________ , a subcontractor under you,\n\t\t\tsaid ___________________________________________________________________________ (general contractor) for the construction (or removal,\n\t\t\tetc.,) of a ___________________________________________________________________________  (describe structure) for you, or on property owned by\n\t\t\tyou, said ___________________________________________________________________________  (owner) is indebted to me in the sum of &#8230;&#8230;&#8230;&#8230;.\n\t\t\t&#8230;&#8230;&#8230;&#8230;&#8230;.. dollars ($ ______________) with interest thereon from the &#8230;. day of &#8230;&#8230;., 20&#8230;, for work done (or materials furnished) in and about the construction (or removal, etc.,) of _________________________  (naming structure), situate in the county (or city) of _______________ Virginia, and that I have duly recorded a mechanic&#8217;s lien for the same.\n\t\t\tGiven under my hand this the &#8230;&#8230;&#8230;&#8230;&#8230;&#8230; day of &#8230;&#8230;&#8230;&#8230;&#8230;, 20&#8230;&#8230;.\n\t\t\t__________________________________________________ (Sub-subcontractor).","type":"section","prefixes":["5"],"prefix":"5","entire_prefix":"5","prefix_anchor":"5","level":1,"prior_prefix":"4"}},"ancestry":[{"id":14160,"edition_id":1,"name":"Mechanics' and Materialmen's Liens","identifier":"1","label":"chapter","depth":2,"order_by":1,"parent_id":14159,"metadata":{},"date_created":"2026-06-26 03:47:04","date_modified":"2026-06-26 03:47:04","permalink":{"id":221267,"object_type":"structure","relational_id":14160,"identifier":"1","token":"43\/1","url":"\/43\/1\/","edition_id":1,"permalink":0,"preferred":1}},{"id":14159,"edition_id":1,"name":"Mechanics' and Certain Other Liens","identifier":"43","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:47:04","date_modified":"2026-06-26 03:47:04","permalink":{"id":221265,"object_type":"structure","relational_id":14159,"identifier":"43","token":"43","url":"\/43\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":81902,"structure_id":14160,"section_number":"43-1","catch_line":"Definitions","url":"\/43-1\/","token":"43\/1\/43-1","metadata":false},{"id":72410,"structure_id":14160,"section_number":"43-10","catch_line":"Sufficiency of memorandum, affidavit and notice required by \u00a7 43-9","url":"\/43-10\/","token":"43\/1\/43-10","metadata":false},{"id":55337,"structure_id":14160,"section_number":"43-11","catch_line":"How owner or general contractor made personally liable to subcontractor, laborer or materialman","url":"\/43-11\/","token":"43\/1\/43-11","metadata":false},{"id":79868,"structure_id":14160,"section_number":"43-12","catch_line":"Repealed","url":"\/43-12\/","token":"43\/1\/43-12","metadata":false},{"id":64540,"structure_id":14160,"section_number":"43-13","catch_line":"Funds paid to general contractor or subcontractor must be used to pay persons performing labor or furnishing material","url":"\/43-13\/","token":"43\/1\/43-13","metadata":false},{"id":69845,"structure_id":14160,"section_number":"43-13.1","catch_line":"Use of lien waiver form; forgery or signing without authority","url":"\/43-13.1\/","token":"43\/1\/43-13.1","metadata":false},{"id":86055,"structure_id":14160,"section_number":"43-13.2","catch_line":"When an affidavit or a signed statement of payment required of owner prior to sale","url":"\/43-13.2\/","token":"43\/1\/43-13.2","metadata":false},{"id":80570,"structure_id":14160,"section_number":"43-13.3","catch_line":"An affidavit or a signed statement of payment required of owner prior to sale or refinance; penalty","url":"\/43-13.3\/","token":"43\/1\/43-13.3","metadata":false},{"id":79181,"structure_id":14160,"section_number":"43-14","catch_line":"Repealed","url":"\/43-14\/","token":"43\/1\/43-14","metadata":false},{"id":71794,"structure_id":14160,"section_number":"43-14.1","catch_line":"Service of notices","url":"\/43-14.1\/","token":"43\/1\/43-14.1","metadata":false},{"id":66035,"structure_id":14160,"section_number":"43-15","catch_line":"Inaccuracies in memorandum or description not affecting lien","url":"\/43-15\/","token":"43\/1\/43-15","metadata":false},{"id":55414,"structure_id":14160,"section_number":"43-16","catch_line":"What owner may do when contractor fails or refuses to complete building, etc","url":"\/43-16\/","token":"43\/1\/43-16","metadata":false},{"id":68827,"structure_id":14160,"section_number":"43-17","catch_line":"Limitation on suit to enforce lien","url":"\/43-17\/","token":"43\/1\/43-17","metadata":false},{"id":71472,"structure_id":14160,"section_number":"43-17.1","catch_line":"Hearing on validity of lien","url":"\/43-17.1\/","token":"43\/1\/43-17.1","metadata":false},{"id":57819,"structure_id":14160,"section_number":"43-18","catch_line":"Lien of general contractor to inure to benefit of subcontractor","url":"\/43-18\/","token":"43\/1\/43-18","metadata":false},{"id":58965,"structure_id":14160,"section_number":"43-19","catch_line":"Validity and priority of lien not affected by assignments","url":"\/43-19\/","token":"43\/1\/43-19","metadata":false},{"id":61935,"structure_id":14160,"section_number":"43-2","catch_line":"Structures, materials, etc., deemed permanently annexed to freehold","url":"\/43-2\/","token":"43\/1\/43-2","metadata":false},{"id":66681,"structure_id":14160,"section_number":"43-20","catch_line":"Extent of lien where owner has less than fee in land","url":"\/43-20\/","token":"43\/1\/43-20","metadata":false},{"id":66928,"structure_id":14160,"section_number":"43-21","catch_line":"Priorities between mechanics' and other liens","url":"\/43-21\/","token":"43\/1\/43-21","metadata":false},{"id":68364,"structure_id":14160,"section_number":"43-22","catch_line":"How liens enforced","url":"\/43-22\/","token":"43\/1\/43-22","metadata":false},{"id":72370,"structure_id":14160,"section_number":"43-23","catch_line":"Priority among liens perfected under this chapter","url":"\/43-23\/","token":"43\/1\/43-23","metadata":false},{"id":67717,"structure_id":14160,"section_number":"43-23.1","catch_line":"Forfeiture of lien","url":"\/43-23.1\/","token":"43\/1\/43-23.1","metadata":false},{"id":55321,"structure_id":14160,"section_number":"43-23.2","catch_line":"Remedies cumulative","url":"\/43-23.2\/","token":"43\/1\/43-23.2","metadata":false},{"id":75637,"structure_id":14160,"section_number":"43-3","catch_line":"Lien for work done and materials furnished; waiver of right to file or enforce lien","url":"\/43-3\/","token":"43\/1\/43-3","metadata":false},{"id":75853,"structure_id":14160,"section_number":"43-4","catch_line":"Perfection of lien by general contractor; recordation and notice","url":"\/43-4\/","token":"43\/1\/43-4","metadata":false},{"id":73387,"structure_id":14160,"section_number":"43-4.01","catch_line":"Posting of building permit; identification of mechanics' lien agent in building permit; notice to mechanics' lien agent; effect of notice","url":"\/43-4.01\/","token":"43\/1\/43-4.01","metadata":false},{"id":66257,"structure_id":14160,"section_number":"43-4.1","catch_line":"Liens to be recorded in deed books and indexed in general index of deeds","url":"\/43-4.1\/","token":"43\/1\/43-4.1","metadata":false},{"id":83985,"structure_id":14160,"section_number":"43-5","catch_line":"Sufficiency of memorandum and affidavit required by \u00a7 43-4","url":"\/43-5\/","token":"43\/1\/43-5","metadata":false},{"id":61637,"structure_id":14160,"section_number":"43-6","catch_line":"Repealed","url":"\/43-6\/","token":"43\/1\/43-6","metadata":false},{"id":79054,"structure_id":14160,"section_number":"43-7","catch_line":"Perfection of lien by subcontractor; extent of lien; affirmative defense; provisions relating to time-share estates","url":"\/43-7\/","token":"43\/1\/43-7","metadata":false},{"id":81789,"structure_id":14160,"section_number":"43-8","catch_line":"Sufficiency of memorandum, affidavit and notice required by \u00a7 43-7","url":"\/43-8\/","token":"43\/1\/43-8","metadata":false},{"id":66394,"structure_id":14160,"section_number":"43-9","catch_line":"Perfection of lien by person performing labor or furnishing materials for a subcontractor; extent of lien","url":"\/43-9\/","token":"43\/1\/43-9","metadata":false}],"previous_section":{"id":81902,"structure_id":14160,"section_number":"43-1","catch_line":"Definitions","url":"\/43-1\/","token":"43\/1\/43-1","metadata":false},"next_section":{"id":55337,"structure_id":14160,"section_number":"43-11","catch_line":"How owner or general contractor made personally liable to subcontractor, laborer or materialman","url":"\/43-11\/","token":"43\/1\/43-11","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/43-10\/","history_text":"<p>The record of this law\u2019s original creation isn\u2019t available online. It has been modified 5 times. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. Those modifications are as follows: in 1968, chapter 568; in 1984, chapter 647; in 2007, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?071+ful+CHAP0504\">504<\/a>; in 2013, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?131+ful+CHAP0293\">293<\/a>; in 2019, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?191+ful+CHAP0243\">243<\/a>.<\/p>","references":[{"id":66035,"section_number":"43-15","catch_line":"Inaccuracies in memorandum or description not affecting lien","order_by":null,"url":"\/43-15\/"},{"id":68827,"section_number":"43-17","catch_line":"Limitation on suit to enforce lien","order_by":null,"url":"\/43-17\/"}],"refers_to":[{"id":66394,"section_number":"43-9","catch_line":"Perfection of lien by person performing labor or furnishing materials for a subcontractor; extent of lien","order_by":null,"url":"\/43-9\/"}],"permalink":{"id":221273,"object_type":"law","relational_id":72410,"identifier":"43-10","token":"43\/1\/43-10","url":"\/43-10\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/43-10\/","token":"43\/1\/43-10","dublin_core":{"Title":"Sufficiency of memorandum, affidavit and notice required by \u00a7 43-9","Type":"Text","Format":"text\/html","Identifier":"\u00a7 43-10","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t<section><p>The <span class=\"dictionary\">memorandum<\/span>, <span class=\"dictionary\">affidavit<\/span> and notice required by \u00a7&nbsp;<a class=\"law\" title=\"Perfection of lien by person performing labor or furnishing materials for a subcontractor; extent of lien\" href=\"\/43-9\/\">43-9<\/a> shall be sufficient if substantially in form and effect as follows:\n\t\t<span class=\"dictionary\">Memorandum<\/span> for Mechanic&#8217;s <span class=\"dictionary\">Lien<\/span> Claimed by Sub-subcontractor.\n\t\tName of owner: ___________________________________________________________________________\n\t\tAddress of owner: ___________________________________________________________________________\n\t\tName of general contractor (if any) and subcontractor:\n\t\t___________________________________________________________________________\n\t\tName of claimant:  ___________________________________________________________________________\n\t\tAddress of claimant:  ___________________________________________________________________________\n\t\tContractor license or certificate number of claimant\n\t\t(if applicable): ___________________________________________________________________________\n\t\tIssuance date of license or certificate\n\t\t(if applicable): ___________________________________________________________________________\n\t\tExpiration date of license or certificate\n\t\t(if applicable): ___________________________________________________________________________\n\t\tIf no contractor license or certificate number is included, the claimant certifies that such a valid license or certificate is not  required by <span class=\"dictionary\">law<\/span> for the work done for which the benefit of a <span class=\"dictionary\">lien<\/span> is claimed.<\/p><\/section>\n\t\t\t\t\t\t<section id=\"1\"><p><span class=\"prefix-number\">1.<\/span> Type of <span class=\"dictionary\">materials<\/span> or services furnished:  ___________________________________________________________________________\n\t\t\t___________________________________________________________________________ <a id=\"paragraph-260812\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/43-10\/#1\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"2\"><p><span class=\"prefix-number\">2.<\/span> Amount claimed: $ ___________________________________________________________________________\n\t\t\tIf any part of the Amount claimed is not due as of the date of this mechanic&#8217;s <span class=\"dictionary\">lien<\/span>, identify the date or event upon which it will be due, and the sum(s) to which the due date(s) or event(s) apply: ___________________________________________________________________________ <a id=\"paragraph-260813\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/43-10\/#2\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"3\"><p><span class=\"prefix-number\">3.<\/span> Type of structure on which work done or <span class=\"dictionary\">materials<\/span> furnished: ___________________________________________________________________________\n\t\t\t___________________________________________________________________________ <a id=\"paragraph-260814\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/43-10\/#3\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"4\"><p><span class=\"prefix-number\">4.<\/span> <span class=\"dictionary\">Brief<\/span> description and location of real property: ___________________________________________________________________________\n\t\t\t___________________________________________________________________________ <a id=\"paragraph-260815\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/43-10\/#4\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"5\"><p><span class=\"prefix-number\">5.<\/span> Date from which interest on above amount is claimed:\n\t\t\tDate: ____________________________\n\t\t\tIt is the <span class=\"dictionary\">intent<\/span> of the claimant to claim the benefit of a <span class=\"dictionary\">lien<\/span>.\n\t\t\t____________________________  (Name of claimant).\n\t\t\t______________ (Signature of claimant or agent for claimant).\n\t\t\t<span class=\"dictionary\">Affidavit<\/span>.\n\t\t\tState of Virginia,\n\t\t\tCounty (or city) of ________________________, to wit:\n\t\t\tI, ___________________________________________________________________________ (notary or other officer) for the county (or city)\n\t\t\taforesaid do certify that ___________________________________________ claimant, or ___________________________________________, agent for claimant, this day made <span class=\"dictionary\">oath<\/span> before me in my county (or city) aforesaid that _______________ is justly indebted to claimant in the sum of __________ dollars for the consideration stated in the foregoing <span class=\"dictionary\">memorandum<\/span>, and that the same is payable as therein stated.\n\t\t\tGiven under my hand this the &#8230;&#8230;&#8230;&#8230;&#8230;. day of &#8230;&#8230;&#8230;&#8230;&#8230;, 20&#8230;.\n\t\t\t________________________________________ (Notary Public or\n\t\t\t<span class=\"dictionary\">Magistrate<\/span>, et cetera.)\n\t\t\tNotice.\n\t\t\tTo __________________________ (owner) and __________________________ (general contractor):\n\t\t\tYou are hereby notified that ___________________________________________________________________________ , a subcontractor under you,\n\t\t\tsaid ___________________________________________________________________________ (general contractor) for the construction (or removal,\n\t\t\tetc.,) of a ___________________________________________________________________________  (describe structure) for you, or on property owned by\n\t\t\tyou, said ___________________________________________________________________________  (owner) is indebted to me in the sum of &#8230;&#8230;&#8230;&#8230;.\n\t\t\t&#8230;&#8230;&#8230;&#8230;&#8230;.. dollars ($ ______________) with interest thereon from the &#8230;. day of &#8230;&#8230;., 20&#8230;, for work done (or <span class=\"dictionary\">materials<\/span> furnished) in and about the construction (or removal, etc.,) of _________________________  (naming structure), situate in the county (or city) of _______________ Virginia, and that I have duly recorded a mechanic&#8217;s <span class=\"dictionary\">lien<\/span> for the same.\n\t\t\tGiven under my hand this the &#8230;&#8230;&#8230;&#8230;&#8230;&#8230; day of &#8230;&#8230;&#8230;&#8230;&#8230;, 20&#8230;&#8230;.\n\t\t\t__________________________________________________ (Sub-subcontractor). <a id=\"paragraph-260816\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/43-10\/#5\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>","plain_text":"                                 CODE OF VIRGINIA\n\nSUFFICIENCY OF MEMORANDUM, AFFIDAVIT AND NOTICE REQUIRED BY \u00a7 43-9 (\u00a7 43-10)\n\nThe memorandum, affidavit and notice required by \u00a7 43-9 shall be sufficient if\nsubstantially in form and effect as follows:\n\t\tMemorandum for Mechanic&#8217;s Lien Claimed by Sub-subcontractor.\n\t\tName of owner:\n___________________________________________________________________________\n\t\tAddress of owner:\n___________________________________________________________________________\n\t\tName of general contractor (if any) and subcontractor:\n\t\t___________________________________________________________________________\n\t\tName of claimant: \n___________________________________________________________________________\n\t\tAddress of claimant: \n___________________________________________________________________________\n\t\tContractor license or certificate number of claimant\n\t\t(if applicable):\n___________________________________________________________________________\n\t\tIssuance date of license or certificate\n\t\t(if applicable):\n___________________________________________________________________________\n\t\tExpiration date of license or certificate\n\t\t(if applicable):\n___________________________________________________________________________\n\t\tIf no contractor license or certificate number is included, the claimant\ncertifies that such a valid license or certificate is not  required by law for\nthe work done for which the benefit of a lien is claimed.\n\n1. Type of materials or services furnished: \n___________________________________________________________________________\n\t\t\t___________________________________________________________________________\n\n2. Amount claimed: $\n___________________________________________________________________________\n\t\t\tIf any part of the Amount claimed is not due as of the date of this\nmechanic&#8217;s lien, identify the date or event upon which it will be due, and\nthe sum(s) to which the due date(s) or event(s) apply:\n___________________________________________________________________________\n\n3. Type of structure on which work done or materials furnished:\n___________________________________________________________________________\n\t\t\t___________________________________________________________________________\n\n4. Brief description and location of real property:\n___________________________________________________________________________\n\t\t\t___________________________________________________________________________\n\n5. Date from which interest on above amount is claimed:\n\t\t\tDate: ____________________________\n\t\t\tIt is the intent of the claimant to claim the benefit of a lien.\n\t\t\t____________________________  (Name of claimant).\n\t\t\t______________ (Signature of claimant or agent for claimant).\n\t\t\tAffidavit.\n\t\t\tState of Virginia,\n\t\t\tCounty (or city) of ________________________, to wit:\n\t\t\tI,\n___________________________________________________________________________\n(notary or other officer) for the county (or city)\n\t\t\taforesaid do certify that ___________________________________________\nclaimant, or ___________________________________________, agent for claimant,\nthis day made oath before me in my county (or city) aforesaid that\n_______________ is justly indebted to claimant in the sum of __________ dollars\nfor the consideration stated in the foregoing memorandum, and that the same is\npayable as therein stated.\n\t\t\tGiven under my hand this the &#8230;&#8230;&#8230;&#8230;&#8230;. day of\n&#8230;&#8230;&#8230;&#8230;&#8230;, 20&#8230;.\n\t\t\t________________________________________ (Notary Public or\n\t\t\tMagistrate, et cetera.)\n\t\t\tNotice.\n\t\t\tTo __________________________ (owner) and __________________________ (general\ncontractor):\n\t\t\tYou are hereby notified that\n___________________________________________________________________________ , a\nsubcontractor under you,\n\t\t\tsaid\n___________________________________________________________________________\n(general contractor) for the construction (or removal,\n\t\t\tetc.,) of a\n___________________________________________________________________________ \n(describe structure) for you, or on property owned by\n\t\t\tyou, said\n___________________________________________________________________________ \n(owner) is indebted to me in the sum of &#8230;&#8230;&#8230;&#8230;.\n\t\t\t&#8230;&#8230;&#8230;&#8230;&#8230;.. dollars ($ ______________) with\ninterest thereon from the &#8230;. day of &#8230;&#8230;., 20&#8230;, for work\ndone (or materials furnished) in and about the construction (or removal, etc.,)\nof _________________________  (naming structure), situate in the county (or\ncity) of _______________ Virginia, and that I have duly recorded a\nmechanic&#8217;s lien for the same.\n\t\t\tGiven under my hand this the &#8230;&#8230;&#8230;&#8230;&#8230;&#8230; day\nof &#8230;&#8230;&#8230;&#8230;&#8230;, 20&#8230;&#8230;.\n\t\t\t__________________________________________________ (Sub-subcontractor).\n\nHISTORY: Code 1919, \u00a7 6429; 1968, c. 568; 1984, c. 647; 2007, c. 504; 2013, c.\n293; 2019, c. 243.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}