City, State, Zip 

 
Name 

 
Address 

 
Phone 

 
Email  

 

If you do not respond to this 
document within applicable time 
limits, judgment could be entered 
against you as requested. 

 
 
 
 
 
 
 
Check your email. You will receive information and 
documents at this email address.  
 

I am   [  ]  Plaintiff/Petitioner 

[  ]  Plaintiff/Petitioner’s Attorney    (Utah Bar #:__________) 

In the District Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

_____________________________________ 
Petitioner 

Petition for Civil Wrongful Lien 
Injunction 

_______________________________ 
Case Number 

_____________________________________ 
Respondent 

_______________________________ 
Judge 

The Petitioner alleges against the Respondent and states as follows: 

The Petitioner is a victim of a wrongful lien. 

The Petitioner believes that the Respondent filed, made, recorded or uttered the 
wrongful lien. 

The specific acts supporting this allegation are as follows (provide detail of how, 
where and when the lien was filed, made, recorded or uttered and Respondent’s involvement – 
use additional pages if necessary): 

v. 

1. 

2. 

3. 

 

   

Approved May 2, 2005 / Revised 
February 8, 2021  
 

Petition for Civil Wrongful Lien Injunction 

Page 1 of 3 

       

     

4. 

Attached is a copy of the alleged wrongful lien, affidavits of witnesses, letters 
from the Respondent, transcripts of conversations, a police report, or other 
evidence which supports the allegation that this is a wrongful lien. 

Note: If any court order has been issued concerning the conduct described in 
paragraph (3), please attach a copy of the order. 

5. 

Check one: 

[  ]  A prior court order concerning the same conduct was issued in the following 
state, county and/or court _____________________________ (Please attach 
a copy of the order). 

[  ]  No prior court order concerning the same conduct was issued by any other 

court. 

6. 

The current address of the Respondent is  

 

________________________________________________________________ 

The Petitioner requests an ex parte civil wrongful lien injunction which would include the 
following: 

1.  Enjoin the Respondent from making, uttering, recording, or filing any further 

2.  Order that the wrongful lien be nullified. 

3.  Other additional relief as follows: 

liens. 

 

 

Approved May 2, 2005 / Revised 
February 8, 2021  
 

Petition for Civil Wrongful Lien Injunction 

Page 2 of 3 

I declare under criminal penalty under the law of Utah that everything stated in this document is true. 

Signed at ______________________________________________________ (city, and state or country). 

Signature ► 

Printed Name 

 

 

 
Date 

   

Approved May 2, 2005 / Revised 
February 8, 2021  
 

Petition for Civil Wrongful Lien Injunction 

Page 3 of 3