Fillable Printable Notice of Mechanic's Lien Under Lien Law
Fillable Printable Notice of Mechanic's Lien Under Lien Law
Notice of Mechanic's Lien Under Lien Law
NOTICE OF MECHANIC'S LIEN UNDER LIEN LAW
To the Clerk of the County of and all others whom it may concern:
PLEASE TAKE NOTICE, that , as lienor has and claims a lien on the real property
hereinafter described as follows:
(1) The names and residences of the lienor are , New York , being a
corporation composed of shareholders, whose business address is at , , New York
, and whose principal place of business is at , New York .
If a partnership, the names and addresses of the partners are .
The name and address of lienor’s attorney if applicable is .
(2) The owner of the real property is and the interest of the owner, upon information and
belief of the lienor, is fee simple.
(3) The name of the person by whom the lienor was employed is
(4) The name of the person to whom the lienor furnished or is to furnish material or for whom
the lienor performed or is to perform professional services is .
(5) The name of the person with whom the contract was made is .
(6) The labor performed and material furnished was .
(7) The materials actually manufactured for but not delivered to the real property are .
(8) The agreed price and value of the labor performed and the material furnished is
$ .
The agreed price and value of the material actually manufactured but not delivered to the real
property is $ .
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VERIFICATION - CORPORATION
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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
Affidavit of Service of Notice of Mechanic’s Lien on Owner, Attorney or Agent
STATE OF NEW YORK, ss.:
COUNTY OF
The undersigned, being duly sworn, deposes and says that deponent is over 18 years of age and
on served the within Notice of Mechanic’s Lien
on
the owner, agent or attorney
at
by delivering a true copy to said owner personally. Deponent knew the person so served to be the
owner.
as the owner could not be found, by delivering a true copy to the agent attorney of the owner.
by leaving it at the last known place of residence of the owner in the city or town in which the
real property or some part thereof is situated, with a person of suitable age and discretion.
by depositing a true copy of same, enclosed in a certified registered mail, postpaid, properly
addressed wrapper, in an official depository of the United States Postal Service in New York
State.
as the owner has no last known place of residence in the city or town in which the real property
or some part thereof is situated, or the owner could not be found, and has no agent or attorney, by
affixing a true copy thereof conspicuously on such property, at m. (between the hours of nine
o’clock in the forenoon and four o’clock in the afternoon).
as the owner is a corporation, by personally delivering a true copy and leaving it with the
president, vice-president, secretary, clerk, cashier, treasurer, director, managing agent of the
corporation.
as the owner is a corporation, and no officer of the corporation could be found within the state,
by affixing a true copy conspicuously on such property at m. (between the hours of nine
o’clock in the forenoon and four o’clock in the afternoon).
as the owner is a corporation, by depositing a true copy of same, enclosed in a certified
registered mail, postpaid, properly addressed wrapper, in an official depository of the United
States Postal Service in New York State.
____________________________________
Sworn to before me on this
day of ,
________________________
NOTARY PUBLIC
NOTE: The Notice of Mechanic's Lien must be served 5 days before or no later then 30 days after filing.
Adavit of Service by Certied Mail
STATE OF NEW YORK, ss.:
COUNTY OF
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