Fillable Printable Notice of Lien under the Condominium Act Unpaid Common Charges - New York
Fillable Printable Notice of Lien under the Condominium Act Unpaid Common Charges - New York
Notice of Lien under the Condominium Act Unpaid Common Charges - New York
NOTICE OF LIEN UNDER THE CONDOMINIUM ACT
UNPAID COMMON CHARGES
To the (Register) (Clerk) of the County of , (City and) State of New
York and to all having interest in said Unit described below:
PLEASE TAKE NOTICE, that the Board of Managers of
Condominium, with an office at
on behalf of all unit owners, as Lienor, has and claims a lien on and against the Condominium
Unit hereinafter described:
The name and address of the property is:
The Condominium Declaration is dated , and was recorded on
in (Liber , page ) (CRFN No. )
(Control No. ).
The record owner of the Condominium Unit is
The Unit No. is and is designated by tax bloc k , lot no.
The amount of the lien is $ , (“Amount”) for the following:
Date Amount Reason
The claim of the lien is said Amount together with interest thereon.
Dated:
LIENOR:
The Board of Managers of
Condominium
By: _______________________________
VERIFICATION
, being duly sworn, deposes and says:
I am fully familiar with the facts and circumstances of this matter and have read the foregoing
Notice of Lien and know the contents thereof, that the same is true to my knowledge, except
as to matters stated therein upon information and belief and as to those matters, I believe them
to be true.
The reason why this verification is made by the undersigned is that the undersigned is
________________________________
Sworn to before me this
Day of
________________________________
Notary Public
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York, County of , ss:
On the day of in the year ,
before me, the undersigned, personally appeared
,
personally known to me or proved to me on the basis of satisfactory
evidence to be the individual(s) whose name(s) is (are) subscribed to
the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their capacity(ies), and that by
his/her/their signature(s) on the instrument, the individual(s), or the
person upon behalf of which the individual(s) acted, executed the
instrument.
ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS
TAKEN IN NEW YORK STATE
State of New York, County of , ss:
On the day of in the year ,
before me, the undersigned, a Notary Public in and for said State,
personally appeared
,
the subscribing witness to the foregoing instrument, with whom I am
personally acquainted, who, being by me duly sworn, did depose and
say that he/she/they reside(s) in
(if the place of residence is in a city, include the street and street number if any, thereof);
that he/she/they know(s)
to be the individual described in and who executed the foregoing
instrument; that said subscribing witness was present and saw said
execute the same; and that said witness at the same time subscribed
his/her/their name(s) as a witness thereto
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York, County of , ss:
On the day of in the year ,
before me, the undersigned, personally appeared
,
personally known to me or proved to me on the basis of satisfactory
evidence to be the individual(s) whose name(s) is (are) subscribed to
the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their capacity(ies), and that by
his/her/their signature(s) on the instrument, the individual(s), or the
person upon behalf of which the individual(s) acted, executed the
instrument.
ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK
STATE
*State of , County of , ss:
*(Or insert District of Columbia, Territory, Possession or Fore ign County)
On the day of in the year ,
before me, the undersigned, personally appeared
,
personally known to me or proved to me on the basis of satisfactory
evidence to be the individual(s) whose name(s) is (are) subscribed to
the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their capacity(ies), that by his/her/their
signature(s) on the instrument, the individual(s) or the person upon
behalf of which the individual(s) acted, executed the instrument, and
that such individual make such appearance before the undersigned in
the
(add the city or political subdivision and the state or country or other
place the acknowledgement was taken).
Title No.
TO
SECTION:
BLOCK:
LOT:
COUNTY OR TOWN
:
RETURN BY MAIL TO:
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