§ 43-10. Sufficiency of memorandum, affidavit and notice required by { 43-9
The memorandum, affidavit and notice required by § 43-9 shall be sufficient if substantially in form and effect as follows:
Memorandum for Mechanic's Lien Claimed by Sub-subcontractor.
Name of owner: ............
Address of owner: ............
Name of general contractor (if any) and subcontractor:
............
Name of claimant: ............
Address of claimant: ............
1. Type of materials or services furnished: ............
............
2. Amount claimed: $ ............
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).
.............. (Signature of claimant or agent for 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) and .................... :
(general contractor)
You are hereby notified that ............ , a subcontractor under you,
said ............ (general contractor) for the construction (or removal,
etc.,) of a ............ (describe structure) for you, or on property owned
by
you, said ............ (owner) is indebted to me in the sum of . . . . . . .
. . . . . .
. . . . . . . . . . . . . . . . . dollars ($ ....................) with
interest thereon from the ............ day of . . . . . . ., 20. . . . ., for
work done (or materials furnished) in and about the construction (or removal,
etc.,) of said ............ (naming
structure), situate in the county (or city) of ............ Virginia,
and that I have duly recorded a mechanic's lien for the same.
Given under my hand this the . . . . . . . . . . . . . . . . . . day of . . .
. . . . . . . . . . . ., 20. . . . . . .
.................... (Sub-subcontractor).
(Code 1919, § 6429; 1968, c. 568; 1984, c. 647; 2007, c. 504.)
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