                                 CODE OF VIRGINIA

SUFFICIENCY OF MEMORANDUM, AFFIDAVIT AND NOTICE REQUIRED BY § 43-7 (§ 43-8)

The memorandum, affidavit and notice required by § 43-7 shall be sufficient if
substantially in form and effect as follows:
		Memorandum for Mechanic&#8217;s Lien Claimed by Subcontractor.
		Name of owner:
___________________________________________________________________________
		Address of owner:
___________________________________________________________________________
		Name of general contractor (if any):
___________________________________________________________________________
		Name of claimant:
___________________________________________________________________________
		Address of claimant:
___________________________________________________________________________
		Contractor license or certificate number of claimant
		(if applicable):
___________________________________________________________________________
		Issuance date of license or certificate
		(if applicable):
___________________________________________________________________________
		Expiration date of license or certificate
		(if applicable):
___________________________________________________________________________
		If 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.

1. Type of materials or services furnished:
___________________________________________________________________________
			___________________________________________________________________________

2. Amount claimed:
$___________________________________________________________________________
			If 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. Type of structure on which work done or materials furnished:
___________________________________________________________________________
			___________________________________________________________________________

4. Brief description and location of real property:
___________________________________________________________________________
			___________________________________________________________________________

5. Date from which interest on above amount is claimed:
			Date: _________________________
			It is the intent of the claimant to claim the benefit of a lien.
			___________________________________________________________________________
(Name of claimant).
			Affidavit.
			State of Virginia,
			County (or city) of __________________________________ to wit:
			I, _____________________________ (notary or other officer) for the county (or
city) aforesaid, 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.
			Given under my hand this the ______ day of ____________, 20___.
			_______________________ (Notary Public or Magistrate, et cetera.)
			Notice.
			To _______________________ (owner).
			You are hereby notified that ____________________ (general contractor) is
indebted to me in the sum of ________________ dollars ($__________) with
interest thereon from the __________ day of __________, 20___, for work done (or
materials furnished, as the case may be,) in and about the construction (or
removal, etc.,) of a ____________________________ (describe structure, whether
dwelling, store, or etc.,) which he has contracted to construct (or remove,
etc.,) for you or on property owned by you in the county (or city) of
_____________, and that I have duly recorded a mechanic&#8217;s lien for the
same.
			Given under my hand this the ________________ day of ___________, 20_____.
			____________________________ (Subcontractor).

HISTORY: Code 1919, § 6428; 1968, c. 568; 2007, c. 504; 2013, c. 293; 2019, c.
243.