Wash. Rev. Code § 60.42.010
(6) To be effective, the notice of claim of lien against proceeds must state the following:
(g) That the lien claimant has read the claim, knows the contents, and believes the same to be true and correct, and that the claim is made pursuant to a valid commission agreement, and is not frivolous, under penalties of perjury. A copy of the commission agreement must be attached to the recorded notice of claim of lien against proceeds. The notice of claim of lien against proceeds must recite that the information contained in the notice of claim of lien against proceeds is true and accurate to the knowledge of the signatory. The notice of claim of lien against proceeds must be acknowledged pursuant to chapter 64.08 RCW. A notice of claim of lien against proceeds substantially in the following form is sufficient: NOTICE OF CLAIM OF LIEN AGAINST PROCEEDS PURSUANT TO CHAPTER 60.42 RCW Notice is hereby given that the person named below claims a lien as to owner's net proceeds or net rental proceeds, but not real property, pursuant to chapter 60.42 RCW. In support of this lien, the following information is submitted: 1. Name, telephone number, and address of lien claimant:. . . . . . . . 2. Washington state broker's license number of lien claimant: . . . . 3. Date of the written commission agreement on which this claim is based: . . . . . . . . . , a true and complete copy of which is attached to this notice of claim of lien. 4. Name of the owner: . . . . 5. Legal description of the commercial real estate described in the commission agreement: . . . . . . . . 6. The amount for which the lien is claimed, which may be stated in a dollar amount or may be stated in the form of a formula for how the amount is to be determined such as a percentage of the sales price: . . . . 7. The undersigned lien claimant, being sworn, states: I have read the foregoing claim, know the contents, and believe the same to be true and correct, and the claim is made pursuant to a valid commission agreement, and is not frivolous, under penalty of perjury.
| . . . . | |
| Signature of lien claimant | |
| . . . . | |
| Name, Street Address, City, State | |
| of person signing | |
| . . . . | |
| Telephone Number of person signing | |
| State of Washington | ) |
| ) ss | |
| County of. . . . | ) |
| . . . . | |
| Subscribed and sworn to, or affirmed, before me on . . . by . . . . | |
| . . . . | |
| Signature | |
| (Seal or stamp) | . . . . |
| Title | |
| My appointment expires . . . . |
(Add acknowledgment pursuant to chapter 64.08 RCW)
[ 1997 c 315 s 2.]