Nevada Notice of Lien by Megadox


More Info
									                                          NOTICE OF LIEN

COUNTY OF _____________

Notice is hereby given that:

1.      __________________ [insert name of claimant], of _____________________ [insert address of claimant],
has on the _____ day of ______________, _______ claimed a construction lien against the real property set
out below, belonging to _______________ [insert name of owner against whose property the lien is claimed], in
the amount of $______________ for the value of the work, services, material or equipment provided in
accordance with a contract between the claimant and ____________ [insert name of contracting party with
whom the claimant has a contract] for the following work, services, materials or equipment:

(a)     [list]
(b)     A brief statement of the terms of payment of the lien claimant’s contract is:

2.      The amount due for work, services, materials or equipment delivery provided by the claimant in
connection with improvements to the real property, and upon which this lien claim is based, is as follows:

        Total contract amount                               $####.##
        Amendments to contract:                             $####.##
        Total contract amount plus amendments to contract:                                   $####.##
        Agreed upon credits:                                $####.##
        Contract amount paid to date:                       $####.##
        Amendments to contract amount paid to date:         $####.##
        AMOUNT AND AMENDMENTS TO CONTRACT:                                                   ($####.##)
        TOTAL LIEN CLAIM AMOUNT:                                                             $####.##

Notice of Unpaid Balance and Right to File Lien (if any) was previously filed with the County Clerk of
_______________ County on the _____ day of ______________, _______ as No. _____ in Book _____ Page

3.       This construction lien is claimed against the interest of ________________________ [insert name] as
[choose appropriate option]:

        Other [describe]

in that certain tract or parcel of land and premises described as Block _______, Lot _______, on the tax
map of the City / Town of _________________, County of ____________, State of Nevada, for the

improvement of which property the aforementioned work, services, materials or equipment was

4.       The work, services, materials or equipment was provided pursuant to the terms of a written
contract (or, in the case of a supplier, a delivery or order slip signed by the owner, contractor, or
subcontractor having a direct contractual relation with a contractor, or an authorized agent of any of
them), dated the _____ day of ______________, _______ between _____________ [insert name of claimant]
and __________________ [insert name of other contracting party], of _________________ [insert address of other
contracting party].

5.     The date of the provision of the last work, services, material or equipment for which payment is
claimed is _______________ [insert date].

I do solemnly declare and affirm under the penalties of perjury that the contents of the foregoing notice
are true to the best of my knowledge, information, and belief.


on behalf of __________________________________ (Subcontractor)
(Insert above line if subcontractor is not an individual)

Subscribed (or affirmed or declared) before my on _________ [date] by __________________ [name].

WITNESS my hand and official seal.

Notary Public
My Commission expires:

                                 CERTIFICATE OF DELIVERY

I, _____________________________, hereby certify that I have on __________________ [insert date]
delivered    a     true   and     correct     copy    of    the   foregoing    document      to
________________________________________, by:

[check the appropriate option]

____     Personal Service

____    Mailing a true and correct copy of same by certified U.S. Mail, postage prepaid, return receipt
requested, to:

         Name: _______________________________

         Address: _______________________________


CERTIFIED THIS _______ DAY OF ________________, 2_______ BY:


Print Name

If Personal Service is indicated above, an Acknowledgement of Receipt must be obtained.

                                  Acknowledgement of Receipt
I, ___________________________________________________________________,         [print    name],   hereby
acknowledge receipt of this Notice of Lien.

DATED this _____ day of ______________, 2_______.


Print Name

Instructions regarding Notice of Lien:

If the Owner has recorded a Notice of Completion or a Notice of Cessation, you have 40 days to file a
Notice and Claim of Lien (Mechanic's Lien) with the County Recorders Office in the county where the
project is located. If a Notice of Completion has not been recorded by the Owner, you have 90 days to file
a Notice of Lien (Mechanic's Lien) with the County Recorders Office where the project o
To top