Nova Scotia Claim of Lien Forms Package by Megadox

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									Form A                                                                                          Section 19

                         CLAIM OF LIEN FOR REGISTRATION

______________________________________                   [name       of      lien     claimant],        of
____________________________________________________ [address of lien claimant],
[If the lien has been assigned from another claimant, include the following:]
as     assignee    of    ____________________________________           [name of assignor],             of
____________________________________________________ [address of assignor],

under the Builders’ Lien Act, claims a lien upon the estate of:
______________________________________                [name     of property owner],                     of
____________________________________________________ [address of property owner],

in the under-mentioned land in respect to the following work, service or materials: [give a short
description of the nature of the work done or services or materials furnished, for which the lien is being
claimed]




which work (or service) was (or is to be) done (or materials were furnished) for: [give the name and
address of the person upon whose credit the work, service or materials is provided]
______________________________________                                 [name],                    of
____________________________________________________ [address], on or before the _____ day of
______________, _______.

The amount claimed as due (or to become due) is the sum of $_______________________.

The following is a description of the land to be charged: [Give concise description of the land to be
charged sufficient for the purposes of registration.]


[When credit has been given, include the following.]
The said work was done (or materials were furnished) on credit, and the agreed period of credit expired
(or will expire) on the _____ day of ______________, _______.

Dated at __________________________________ this _____ day of ______________, _______.



Signature of Lien Claimant


Print Name (and Title of authorized officer, if any)
Form C                                                                               Sections 19 and 20


                                AFFIDAVIT VERIFYING CLAIM

PROVINCE OF NOVA SCOTIA                       )
                                              )
COUNTY OF _______________                     )

[If one party is making the claim, use the following.]
I, _____________________________________ [name of person making the affidavit], of
________________________________________________              [address],     County       of
_______________, Nova Scotia, the claimant (or agent of the claimant) named in the foregoing
Claim of Lien, make oath and say that the said claim is true.

[If more than one party is making the claim, use the following.]
We,                       _____________________________________,                                   of
________________________________________________                             [address],           and
_______________________          [names       of     persons      making       the    affidavit],  of
________________________________________________                      [address],       County      of
_______________, Nova Scotia, the claimants named in the foregoing Claim of Lien, make oath
and say, each for him/herself that the said claim is true insofar as it relates to him/her.

[If the affidavit is being made by an agent or assignee, the following must be added.]
I have full knowledge of the facts set forth in the foregoing Claim of Lien.

SWORN before me at _________________ )
in the County of _____________________, )
this _____ day of ______________, _____ )
                                        )
                                        )
_______________________________         )
A Commissioner of Oaths/Notary Public   )         Signature
in and for the Province of Nova Scotia  )

[If more than one affiant:]
Severally sworn before me at ___________ )
in the County of _____________________, )
this _____ day of ______________, _____ )
                                         )
                                         )        Signature
_______________________________          )
A Commissioner of Oaths/Notary Public    )
in and for the Province of Nova Scotia   )        Signature
                                         Builders’ Lien Act Provisions
Lien
6 (1) Unless he signs an express agreement to the contrary and in that case subject to Section 4, any person who
performs any work or service upon or in respect of, or places or furnishes any material to be used in the making,
constructing, erecting, fitting, altering, improving, or repairing of any erection, building, railway, land, wharf, pier,
bulkhead, bridge, trestlework, vault, mine, well, excavation, fence, sidewalk, pavement, fountain, fishpond, drain,
sewer, aqueduct, roadbed, way, fruit or ornamental trees, or the appurtenances to any of them, for any owner,
contractor, or subcontractor, shall by virtue thereof have a lien for the price of such work, service or materials upon
the erection, building, railway, land, wharf, pier, bulkhead, bridge, trestlework, vault, mine, well, excavation, fence,
sidewalk, paving, fountain, fishpond, drain, sewer, aqueduct, roadbed, way, fruit or ornamental trees and
appurtenances, and the land occupied thereby or enjoyed therewith or upon or in respect of which such work or
service is performed, or upon which such materials are placed or furnished to be used, limited, however, in amount
to the sum justly due to the person entitled to the lien and to the sum justly owing, except as herein provided, by the
owner.

(2) A person who rents to an owner, contractor or subcontractor equipment used on land or in such place in the
								
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