How To Write A Mechanical Lien Letter . (b) the name of the person claiming the lien, the name of the person who furnished the laborers or materials or performed the labor for which the lien is claimed, and the. Claims a mechanic's lien upon the following described real property: Arizona Notice of Intent to Lien Form Free Template from www.levelset.com A few points to know when filling out the form: A mechanic’s lien statement form is another type of mechanic’s lien form, however, it is solely for notifying and informing the public and relevant individuals about the lien upon a specific. Even if you were not required to send that notice,.