The omission or inaccuracy of any address in the affidavit does not invalidate the affidavit. The lien claimant may verify the affidavit before any person authorized to administer oaths, including an agent for the owner, the lien claimant, or any other interested party. An agent of the lien claimant may sign the affidavit for the lien claimant, provided that the agent states his capacity with respect to the lien claimant. A lien claimant is considered to have filed for record with the United States federal aviation administration an affidavit upon receipt of the affidavit by the United States federal aviation administration as evidenced by a certified mail return receipt.
"Affidavit for Artisan's Lien on Aircraft
State of Ohio,
County of_____________________, ss: __________________________,
___________________________________ of ________________________ whose address is____________________________________________, being first duly sworn, says that he or his employee performed labor, repairs, services, or maintenance upon or furnished storage, materials, products, substances, accessories, parts, or equipment for a certain aircraft or part or equipment of a certain aircraft at the request of ______________________, whose address is ____________________, and of which ______________________ is the titled owner.
The owner's address is _____________________________________
The aircraft upon which labor, repairs, services, or maintenance were performed or storage, materials, products, substances, accessories, parts, or equipment were furnished is identified as follows:
Manufacturer: ______________________________________________
Model: _____________________________________________________
Serial number ______________________________________________
Registration number ________________________________________
The last date that labor, repairs, services, or maintenance were performed upon or storage, materials, products, substances, accessories, parts, or equipment were furnished for the aircraft herein identified, including any part or equipment of that aircraft, was _______________ ______________, _____________
The lien claimant states there is justly and truly due, over and above all legal setoffs, the sum of __________ dollars, for which the lien claimant claims a lien on the aircraft identified herein.
The lien claimant states that he is (is not) currently in possession of the aircraft. (The lien claimant states that he surrendered possession of the aircraft on the ________ day of _____________, _________)
___________________________
Lien claimant
___________________________
Capacity with respect to lien
claimant
Sworn to before me and subscribed in my presence this ________ day of ____________, _____ ___________________
____________________________
Notary public
This instrument was prepared by ______________________________ whose address is ____________________________________________"
R.C. §1311.73