                                 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:
___________________________________________________________________________		Add
ress of owner:
___________________________________________________________________________		Nam
e of general contractor (if any):
___________________________________________________________________________		Nam
e of claimant:
___________________________________________________________________________		Add
ress of claimant:
___________________________________________________________________________		Con
tractor license or certificate number of claimant		(if applicable):
___________________________________________________________________________		Iss
uance date of license or certificate		(if applicable):
___________________________________________________________________________		Exp
iration 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.