Go to Public Legal Home
  • Forms
    • Legal Forms Home
    • Business
    • Buying & Selling
    • Borrowing & Lending
    • Business Ventures
    • Credit & Collection
    • Employment
    • Leases & Real Estate
    • Protection of Rights
    • Transfers & Assigns
    • Personal
    • Last Wills & Estates
    • Marital & Family
    • Name Change
    • Power of Attorney
    • Health Care
  • Profession
    • 350 Largest Law Firms
    • Legal Salaries
    • CLE
    • Lawyers & Firms
    • Legal Associations
    • Legal Experts
    • Legal Forms Sources
    • Business Entity Forms
  • Academics
    • Law School Rankings
    • Law School Profiles
    • Law School Salaries
    • Law School Tuition
    • Law School Outlines
    • External, 3rd Party
    • Rankings Sources
    • Law Journals
    • Law Students
    • Pre-Law
  • Research
    • U.S. State Gov't
    • U.S. Federal Gov't
    • Legal Indices
    • Statutes & Codes
  • About
    • About Us
    • Contact Us
    • Testimonials
    • Terms of Use
    • Privacy Policy
  • Forms
  • Firms
  • Schools
    1. you are here:
    2. forms menu
    3. protection of
    4. claim of lien form
    1. you are here:
    2. forms menu
    3. protection of legal rights
    4. claim of lien form
    1. you are here:
    2. forms menu
    3. protection of legal rights
    4. claim of lien form

    Claim of Lien Form

    Instant Download - Only $9.99

    • Professional MS Word & PDF formatting Microsoft Word Adobe PDF
    • Fully editable & reusable
    • Lifetime updates
    • Accuracy guarantee

    CLAIM OF LIEN FORM

    STATE OF ___________________

    COUNTY ___________________

    BEFORE ME, the undersigned Notary Public, personally appeared _______________________________ who duly sworn says that he is (the lienor herein) (the agent of the lienor herein) whose address is ___________________________________________ and that in accordance with a contract with lienor furnished labor, services or materials consisting of: __________________________________________________ __________________________________________________ __________________________________________________ on the following described real property in _________________________ County, State of _________________________, described as __________________________________________________ and owned by ___________________________________ of a total value of $_________________________ of which there remains unpaid $_________________________, and furnished the first of the items on _________________________, 20_______, by _________________________ and, (if required) that the lienor served copies of the notice on the contractor on _________________________, 20_______, by_________________________, and on the subcontractor on _________________________, 20_______, by ________________________________.

    By:


    ___________________________________________
    Lienor


    ___________________________________________
    Witness


    A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.


    On __________________ before me, ________________________________ (here insert name and title of the officer), personally appeared ________________________________ ________________________________ ________________________________ ________________________________, who 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.

    I certify under PENALTY OF PERJURY under the laws of the State of ___________________ that the foregoing paragraph is true and correct.

    WITNESS my hand and official seal.

     

    ________________________________         (Seal)
    Signature


    Instant Download - Only $9.99

    • Professional MS Word & PDF formatting Microsoft Word Adobe PDF
    • Fully editable & reusable
    • Lifetime updates
    • Accuracy guarantee
    "Are these forms valid in my state?" At ILRG, we are committed to delivering top quality legal forms that are valid in all states. We will pay $50 to anyone who brings to our attention any form on our site that is not compliant with U.S. state law. See the terms and conditions for this offer for further information. ILRG guarantees your complete satisfaction with your purchase. If you are not 100 percent satisfied after purchasing from us, contact us for a full refund.

    No Ads, No Affiliates, No Subscription Plans, No Hidden Fees, No Sharing Your Data. PublicLegal is a socially motivated website that provides information about the law while respecting your rights and privacy. View our privacy policy.

    Legal Forms

    Business
    Buying & Selling
    Borrowing & Lending
    Business Ventures
    Credit & Collection
    Employment
    Leases & Real Estate
    Protection of Rights 
    Transfers & Assigns

    Personal
    Last Wills & Estates
    Marital & Family
    Name Change
    Power of Attorney
    Health Care

    Legal Profession

    350 Largest Law Firms
    Legal Salaries
    CLE
    Lawyers & Firms
    Legal Associations
    Legal Experts
    Legal Forms Sources
    Business Entity Forms

    Legal Academics

    Law School Rankings
    Law School Profiles
    Law School Salaries
    Law School Tuition
    Law School Outlines

    External, 3rd Party
    Rankings Sources
    Law Journals
    Law Students
    Pre-Law

    Legal Research

    U.S. State Gov't
    U.S. Federal Gov't
    Legal Indices
    Statutes & Codes



    About

    About Us
    Contact Us
    Testimonials
    Terms of Use
    Privacy Policy

    © 1995-2023 Internet Legal Research Group

    An operating division of Maximilian Ventures LLC

    Reproduction in whole or in part without permission is prohibited.


    Truste seal 4b8271a7147141530b4450016f74d728419e6cea808360acdf2c25ce1ab6cf96