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 $ .
The total agreed price and value is $
(9) The amount unpaid to the lienor for said labor performed and materials
furnished is $
The amount unpaid to the lienor for material actually manufactured but not
delivered to the real property is $
The total amount unpaid is $
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