Paul J. Malikowski - Mechanic's & Materialman's Lien FORM

Mechanic's & Materialman's Lien FORM

When recorded return to:

PAUL J. MALIKOWSKI, ESQ.
333 Flint Street, Suite 105
Reno, Nevada 89501
Voice: (775) 786-0758
Toll Free FAX and Voicemail: (800) 331-9501
Toll Free Nationwide Pager: (888) 936-8337
Attorney for Lien Claimant

NOTICE OF CLAIM OF LIEN

NOTICE IS HEREBY GIVEN that D.B.A. claims a Mechanic's and Materialsman's Lien upon the property hereinafter particularly described, which property is located in the County of , State of Nevada, and which claim is made pursuant to the laws of the State of Nevada, particularly Chapter 108 of the Nevada Revised Statutes, as amended, for the value of $ furnished by lien claimant for the improvement of real property hereinafter particularly described, located in the County of , State of Nevada.

That the whole of the real property hereinafter particularly described has been or is in the process of improvement and is reasonably necessary for the convenient use of occupation of said property.

Claimant further states:

1. That the name of the owner(s) or reputed owner(s) of the premises sought to be charged is/are, .

2. That the name of the person by whom lien claimant was employed and to whom lien claimant furnished , in connection with the project is at

3. That the terms, time given and conditions of the contract were to furnish commencing and completing the work on , for the amount of dollars and cents, ($), with payment to be made upon . The first work by the lien claimant commenced on .

4. That have been furnished to and actually used upon the above-described project in the amount of dollars and cents, ($); that to date moneys owing is dollars and cents, ($).

5. Lien claimant is informed and believes that the work of improvement has been completed.

6. That a demand for payment has been made by lien claimant and that no part or portion of the amount due and owing has been paid; that there are no further off-sets to the claim and that the sum of dollars and cents, ($), plus interest is now due and owing to lien claimant on account of , furnished as above specified and that the undersigned claims a lien upon the real property particularly described herein for said sum, together with interest and attorney's fees as provided by law.

7. That the real property sought to be charged with this Claim of Lien upon which the above-described work of improvement has been made is located in the County of , State of Nevada, and is particulary described as , and APN #.

DATED this day of , 20.

(print/sign)

VERIFICATION

I, the undersigned, say, I am the lien claimant in the foregoing Notice of Claim of Lien, I have read the foregoing Notice of Claim of Lien, know the contents thereof and state that the same is true.

STATE OF NEVADA	}
	} ss.
COUNTY OF WASHOE	}

On the day of , 20 , personally appeared before me, a notary public, , known (or proved) to me to be the person whose name is subscribed to the above instrument, who acknowledged that executed the above instrument.

NOTARY PUBLIC

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TERMS

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copyright � 1996-1997 Paul J. Malikowski & The Computer People - ALL RIGHTS RESERVED. This document may NOT be reproduced in whole or part, electronically or otherwise without the express written permission of Paul J. Malikowski and/or The Computer People