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Real Estate Property Lien

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Real Estate Property Lien Powered By Docstoc
					Real Estate Property Lien
This document provides notice to an owner of property that a lien is being claimed
against the property listed. The document allows the Claimant to state the amount of
the lien claimed and to describe why they are filing a lien against the property, whether it
is because they extended credit or furnished materials and supplies on the property.
This document should be used by an individual or company that is asserting a lien
against the property of another party.
RECORDING REQUESTED BY:

______________________________

AND WHEN RECORDED MAIL TO:

______________________________
(Name)

_______________________________
(Street Address)

______________________________
(City, State, Zip)

[Instructions: Insert the Claimant’s information above]

=============================================================
              SPACE ABOVE THIS LINE FOR RECORDER'S USE

                      REAL ESTATE PROPERTY LIEN
I, _____________________, [Instructions: Insert the name of the individual or company
that is filing the lien] the Claimant, hereby claim a Property Lien upon the following described
real property situated at:

              __________________________________

              __________________________________

              __________________________________ (the “Property”)

[Instructions: Insert the address of the property the lien is being filed against]

The amount of lien claimed is $____________ [Instructions: Insert the dollar amount of the
lien] together with interest thereon at the rate of ________% [Instructions: Insert the interest
rate] per annum from the __________ day of __________, _____ [Instructions: Insert when
this amount became due] is due and owing to the Claimant.

The           Claimant          is          filing           this         lien          because
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
[Instructions: Insert why the Claimant is filing this lien. E.g., judgment lien, creditor claim,
works performed, provided supplies, etc.]


© Copyright 2013 Docstoc Inc.                                                        2
The      name(s)      of    the     present    owner(s)   of the property is/are:
_____________________________________________________________________________.
[Instructions: Insert the name(s) of the property owners]

I swear that to the best of my knowledge, the information contained in this lien is true and
correct as of _________________. [Instructions: Insert the date that Claimant will sign this
lien]

Printed Name of Claimant: _________________________ [Instructions: Insert the Claimant’s
name]

Signature of Claimant: _________________________________________ [Instructions: Insert
the Claimant’s signature]

Signed on _________________ [Instructions: Insert the date that Claimant will sign this
lien]

Address of Claimant: _____________________________________________ [Instructions:
Insert the Claimant’s address]




© Copyright 2013 Docstoc Inc.                                                    3
Notary Form

STATE OF                              }
COUNTY OF                             }

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]




© Copyright 2013 Docstoc Inc.                                                           4

				
DOCUMENT INFO
Description: This document provides notice to an owner of property that a lien is being claimed against the property listed. The document allows the Claimant to state the amount of the lien claimed and to describe why they are filing a lien against the property, whether it is because they extended credit or furnished materials and supplies on the property. This document should be used by an individual or company that is asserting a lien against the property of another party.