Lien Form

140, 2816 11 Street NE Calgary, Alberta T2E 7S7
Phone: (403) 930-5055 | Fax: (403) 930-5054
www.westviewlawllp.com

Full Name of the Lienholder

Full Address of the Lienholder

Full Name of the Property Owner (if known)

Full Address of the Property Owner (if known)

Full Legal Description of the Property where the Work was Provided

Brief Description of the Work Done or Material Supplied, or the Lien is for Wages Owed

Full Name of the Person to Whom the Work or Materials were Provided

Full Address of the Person to Whom the Work or Materials were Provided

If the Lien is for Oil or Gas

Date of Last Day When the Work or Materials were Provided

Amount Claimed

Address for Service of the Lienholder

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