Affidavit to Fix Worker’s Lien
BEFORE ME, the undersigned authority, on this day personally appeared [name of affiant], who swore on oath that the following facts are true:
“I am a resident of [county] County, Texas. On [date], I entered into an employment contract with [name of employer], Employer, to provide labor or services in [county] County, Texas, as a [type of employment] to [describe work] at Employer’s [type of premises], located at [address, city], Texas. The work was performed for Employer’s benefit.
“Under the terms of the employment contract between Employer and me, Employer was obligated to pay me $[amount] per [time period] for the labor or services described above. Employer now owes me $[amount] but refuses to pay me.
“This debt accrued within the past thirty days. Since then I have given Employer an account of the labor or services performed with regard to [describe property for which lien is claimed]. A copy of the account is attached to this affidavit and is incorporated in this affidavit for all purposes.
“The facts stated in this affidavit are within my personal knowledge and are true and correct.”
[Name of affiant]
Affiant
SIGNED under oath before me on ________________________________.
Notary Public, State of Texas
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Attach an account of services with amount due. Copies of the affidavit and attached account should be both served on the employer or the employer’s agent and filed with the county clerk. |