NV contractors, give proper notice of your lien claim with this Nevada Notice of Lien form.
- The contractor or subcontractor notifies all interested parties that it has claimed a lien for goods, labor and services provided for improvements to the subject property.
- The form includes instructions on how to file and serve the Notice, as well as a copy of relevant sections of Chapter 108 of the Nevada Statutes.
- Pay for the form once, download it and use as often as you require.
This Nevada Notice of Lien form is provided in MS Word format, and is easy to download, fill in and print.
NOTICE OF LIEN (NEVADA) TO THE CLERK 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: $####.## LESS: Agreed upon credits: $####.## Contract amount paid to date: $####.## Amendments to contract amount paid to date: $####.## TOTAL REDUCTIONS FROM CONTRACT AMOUNT AND AMENDMENTS TO CONTRACT: ($####.##) 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]: Owner Lessee 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 -2- improvement of which property the aforementioned work, services, materials or equipment was provided. 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. (Individual) 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. (SEAL) Notary Public My Commission expires: -3- 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: Signature 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_______. Signature Print Name -4- 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
Pages to are hidden for
"Nevada Notice of Lien"Please download to view full document