.04 Wage Lien Statement.

A Wage Lien Statement shall include the following:

A. A description of the property;

B. The name of the property owner;

C. The monetary amount of the lien;

D. A copy of the Notice to Employer of Intent to Claim Lien for Unpaid Wages and proof of service of the notice; and

E. A copy of a court order establishing the lien for unpaid wages if the lien for unpaid wages is established in a court.