Notice of Mechanic's Lien Under Lien Law
Adavit of Service by Certied Mail
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 the undersigned served the within Notice of Lien on
the contractor subcontractor assignee legal representative
at
by depositing a true copy of same, enclosed in a certied mail, postpaid, properly
addressed wrapper, in an o:cial depository of the United State Postal Service in
New York State.
____________________________________
Sworn to before me on this
day of ,
______________________
NOTARY PUBLIC
Note: A contractor or subcontractor must be served simultaneously or within 30 days after ling
Notice of Mechanic’s Lien. Proof of such service, pursuant to Lien Law Section 11-6, must be led in
the appropriate County Clerk’s O:ce within 35 days of ling of the Notice of Mechanic’s Lien
.
Note: Serve a copy of Notice of Mechanic’s Lien on contractor or subcontractor simultaneously or
within 30 days after ling Notice of Mechanic’s Lien. File proof of service with County Clerk within 35
days after Notice of Mechanic’s Lien is led. See Lien Law § 11-b.
Mechanic’s Lien Notice of Lien
Claimant:
Address:
against
Owner:
Contractor:
Amount: $
Filed:
Premises:
Block: Lot:
Attorney(s) for Lienor:
Post O:ce Address and Telephone
Number:
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