Fillable Printable Extension of Notice of Mechanic's Lien

Extension of Notice of Mechanic's Lien

EXTENSION OF NOTICE OF MECHANIC’S LIEN

TO THE CLERK OF THE COUNTY OF , STATE OF NEW YORK AND ALL OTHERS

WHOM IT MAY CONCERN:

PLEASE TAKE NOTICE, that , lienor, residing at or having a principal place of

residence at , in the County of , State of New York, pursuant to Section 17 of the Lien Law

of the State of New York, hereby extends for a period of one year from the filing hereof, that certain

Notice of Lien filed in this office by said Lienor on , against the real property located in , in

the Town/City of , County of , State of New York, and being shown on the County

Tax Map in Section , Block , Lot and being more particularly bounded and described

as follows:

The owner of said real property against whose interest therein the lien is claimed is and

the name of the contractor is .

The amount of said lien is $

The above named Lienor requests that, pursuant to Section 17 of the Lien Law of the State of

New York, the aforementioned lien be re-docketed as of the date of the filing of this extension.

Dated: , New York

BY:______________________________________

VERIFICATION - CORPORATION

STATE OF NEW YORK, ss.:

COUNTY OF

, being duly sworn, says that deponent is the of , herein, that

deponent has read the foregoing notice of lien and knows the contents thereof,

and that the same is true to deponent’s own knowledge, except as to the matters

therein stated to be alleged upon information and belief, and that as to those matters deponent believes it

to be true. The reason why this verification is made by deponent is that deponent is an officer, to wit, the

of , which is a domestic corporation, and deponent is familiar with the facts and

circumstances herein.

The source of deponent’s information and the grounds of deponent’s belief as to all matters

therein stated upon deponent’s knowledge are as follows: books and records of the corporation.

___________________________________

Sworn to before me this

day of

______________________________

Notary Public

VERIFICATION - INDIVIDUAL

STATE OF NEW YORK, ss.:

COUNTY OF

being duly sworn, says that deponent is (one of the co-partnership named in the within notice of

lien and) the lienor(s) mentioned in the foregoing notice of lien; that deponent has read the said notice

and knows the contents thereof, and that the same is true to deponent’s own knowledge, except as to the

matters therein stated to be alleged on information and belief, and that as to those matters deponent

believes it to be true.

Sworn to before me on this

day of

______________________________

Notary Public