Letter of Claim of Lien

Letter of Claim of Lien : Please fill out the following form. Please print your completed form if you would to have a copy for your records.



BEFORE ME, the undersigned Notary Public, personally appeared (Name of the person claiming lien) who duly sworn says that he is (the lienor herein) (the agent of the lienor herein) whose address is (Address of the person claiming lien) and that in accordance with a contract with (Name of the person or the company who hired lienor) lienor furnished labor, services or materials consisting of (Brief description of the labour or materials furnished) on the following described real property in (name of the county) County, State of (Name of the state) described as (description of the real property) and owned by (Name of the person who owns the property) of a total value of (Total value of the job) dollars ($____________) ofwhich there remains unpaid $________, and furnished the first of the items on (date with year) by (name of the person who finishes the items) and (if required) that the lienor served copies of the notice on the contractor on (date with year) by (name of the person who finishes the items) and on the subcontractor (Name of the subcontractor) on (date with year) by (Name of the person who served the notice to the subcontractor).

Lienor :

Agent :

On _______________________ before me _________________________ personally appeared ___________________________ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(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 authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

WITNESS my hand and official seal.

Signature :

Affiant : Known / Unknown :

ID Produced :

Seal :

Letters Used in Real Estate Index

Letter of Claim of Lien

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Letter for Settlement of Bill
Letter for Tender
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Letter Offering Discount
Letter Related to Advertisement
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Letter to A Foreign Buyer
Letter to Pen-Friend
Letter to Police
Letter with Order
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Letter Writing
Letters about Company Shares
Letters by Clubs and Societies
Letters by Landlords & Tenants
Letters for Appointment of Dealers
Letters for Business Relations
Letters for Buying and Selling
Letters for Credit & Collection
Letters for Foreign Travel
Letters for Lease & Tenancy
Letters for Loan & Borrowing
Letters for Transfer & Assignment
Letters for Insurance
Letters Noting Discrepancy
Letters of Condolence & Sorrow
Letters of Regret
Letters Regarding Maintenance
Letters Regarding Payment
Letters Related to Employees
Letters to Local Corporation
Letters to Postal Authorities
Letters to The Editor
Letters Used in Real Estate
Letters With Postal Department
Letters With Railways Authorities

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