Missouri Notice of Intent to File Mechanic’s Lien Statement - Pursuant to R.S.Mo. §429.100 and §429.110 - Template

Sep 16, 2026

Upload by Adam

Missouri mechanic’s lien notice template provides a formal “Notice of Intent to File Mechanic’s Lien Statement” under R.S.Mo. §429.100 and §429.110. It collects grantor/grantee information, legal property description, statutory property addresses, parties to be indexed, and the claimant’s description of services, materials, equipment, or labor. The notice warns that if the claimed amount is not paid within ten days after service, the claimant will file the mechanic’s lien statement on the property. It also includes a sworn proof of service affidavit with delivery or certified mail options.

LanguageEnglish

CategoryLetters

FormatPDF

Pages5

Reading Time2 min

AccessFree to download

Notice of Intent to File Mechanic’s Lien Statement

Required Party and Property Information

Claim Details and Ten-Day Payment Warning

Sworn Notary/Execution Block

Proof of Service Affidavit

Service Method Options

Affidavit Signatures

NOTICE OF INTENT TO FILE MECHANIC’S LIEN STATEMENT PURSUANT TO R.S.Mo. §429.100 and §429.110 Date of Document: / /20 Names to be Indexed: | GRANTOR
(Name and address all parties with an interest in the property, including owners, mortgages, lease-hold interests, other lien claimants) . | GRANTEE
(Name and address of the Lien Claimant) | | --- | --- | | Legal Property Description of Property: | Statutory Addresses of Property: | Property Owner of Fee Simple Interest in the Property (Name and address of Prop. Owner) Description of Services, materials, equipment, and/or labor delivered to the Property: Party Who Owes the Claimant (Name and address of party who hired the Claimant and owes him the claimed amount) Amount of Claim: $ The above-named Claimant has the above-identified Amount of Claim due and owing toit for Services provided to the Property. The Claimant furnished the Services to the above-named Party Who Owes the Claimant. Upon information and belief, the Claimant was working under a contract with the Party Who Owes the Claimant, said party is or is a contractual chain that ends with the fee simple owner of the property, above-named as the Property Owner. YOU ARE HEREBY NOTIFIED that if the Amount of Claim is not satisfied with the Claimant within ten (10) days after the service of this notice, the Claimant will file a Mechanic’s Lien Statement on the Property. | State of County of
Sworn to and subscribed before me, on the date inscribed to the right.
Notary Public | Signed this day of , 20 .
Agent for the Claimant Signed by:
Title: | | --- | --- | PROOF OF SERVICE AFFIDAVIT I, , being duly sworn, deposes and says that I am over the age of twenty-one years old, that this affidavit is made upon my own personal knowledge, and that on the day of , 20 , I served the attached Notice of Intent to File Mechanic’s Lien Statement to the following party at these stated addresses: [ ] Property Owner [ ] I served the attached document: [ ] By personally delivering the notice to the identified parties; [ ] By First Class Certified or Registered Mail service, return receipt requested, postage prepaid. Signed this day of , 20 . Agent for Claimant Signed by: Title: Skip the hassle of sending notices yourself. With Levelset, it's fast, affordable, and done right. Create a notice quickly Answer a few simple questions to create a custom notice foryour job. You'll be done in less than 5 minutes! Know it's done right Our expert research team can double check the info you provide and trackdown missing details. Send notices stress-free We follow the rules for notices in your state, and send it to all required parties. Get help along the way Our rockstar support team is available to help you through the process and answer your questions via phone, email, or chat. My Project Project address: 1121 Josephine St Customer name: Construction Services LLC Property Owner: I don’t know ! Levelset will ﬁnd this for you File now Preliminary Notice Ready to send your notice? [Visit](Visit Levelset.com/start-my-notice to get started)[ ](Visit Levelset.com/start-my-notice to get started)[Levelset.com/start-my-notice](Visit Levelset.com/start-my-notice to get started)[ to get started](Visit Levelset.com/start-my-notice to get started). File now Excellent Based on 1,700+ reviews We're construction payment & notice experts. "Levelset's user-friendly, but robust interface makes document preparation a breeze. I messed up some details on a preliminary notice and reached out to the support team, receiving an immediate response and help with fixing it." -Gisele S.

FAQs

What is the purpose of a Missouri “Notice of Intent to File Mechanic’s Lien Statement”?

It formally notifies the property-related parties that the claimant intends to file a mechanic’s lien statement if the claimed amount is not paid within the required timeframe.

How long does the claimant give for payment after the notice is served?

The notice states that the amount of claim must be satisfied within ten (10) days after service of the notice, or the claimant will file the mechanic’s lien statement.

What is included in the Proof of Service Affidavit?

It includes a sworn statement of the server’s age and personal knowledge, the date of service, the parties served and addresses, and the method of service (personal delivery or First Class Certified/Registered Mail with return receipt requested).

Sep 16, 2026

Upload by Adam