South Dakota Claim of Lien by Megadox

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									                                          CLAIM OF LIEN
                                            (SDCL § 44-9-16)

STATE OF SOUTH DAKOTA

COUNTY OF [COUNTY], SS:                            )

BEFORE ME, the undersigned Notary Public, personally appeared [NAME OF LIENOR], who duly
sworn says that he is [the lienor herein / the agent of the lienor herein] whose address is [address of
lienor] and that in accordance with a contract with _______________[insert name of owner of property or
contractor], the lienor furnished labor, services or materials consisting of:

        [description of labor, services or materials]



on the following described real property in [County] County, State of South Dakota, described as:

        [description of property]

and owned by _________________ [insert name owner of property], to a total value of [insert value of
services rendered under contract] Dollars ($__________), of which there remains unpaid $______ [balance
outstanding], and furnished the first of the items on __________ [date first services provided] and [if the
lien is claimed by one not in privity with the owner] that the lienor served her or his notice to owner on
_________ [insert date] by _______________ [describe method of service] and [if required] that the lienor
served copies of the notice on the contractor ______________ [name] on _________ [insert date] by
_______________ [describe method of service] and on the subcontractor ______________ [name], on
_________ [insert date] , by _____ [describe method of service].

                                                   [LIENOR / AGENT]


                                                   By:
                                                          [Lienor / Agent for the Lienor]


Sworn to (or affirmed) and subscribed before me this _____ day of _____, _____, by _______________
[insert name].



                                                   ___________________________________
                                                   Notary Public

Affiant: Known                   Unknown

ID Produced:
                                                     -2-


SOUTH DAKOTA CODIFIED LAWS, CHAPTER 44-9 MECHANICS’ AND MATERIALMEN’S LIENS
provides as follows:

44-9-15 Statement of Claim, Filing

The lien shall cease at the end of one hund
								
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