Free Printable Bergen County, New Jersey Mechanic's Lien & Requirements

NOTICE OF MECHANIC'S LIEN
State of New Jersey

RECORDING REQUESTED BY: [YOUR NAME/COMPANY]

TO: [COUNTY] County Recorder
State of New Jersey

NOTICE IS HEREBY GIVEN that:

CLAIMANT:
Name: [CLAIMANT NAME/COMPANY]
Address: [ADDRESS], NJ [ZIP]

PROPERTY OWNER:
Name: [OWNER NAME]
Address: [ADDRESS], NJ [ZIP]

PROPERTY:
Address: [PROPERTY ADDRESS], NJ [ZIP]
Legal Description: [LEGAL DESCRIPTION]
Parcel Number: [PARCEL #]

GENERAL CONTRACTOR (if different from Claimant):
Name: [GC NAME]

1. TYPE OF WORK/MATERIALS:
[DESCRIBE LABOR, SERVICES, OR MATERIALS PROVIDED]

2. DATES:
Work Commenced: [DATE]
Work Completed/Last Furnished: [DATE]

3. AMOUNT OF LIEN:
Original Contract Amount: $[AMOUNT]
Amount Paid: $[AMOUNT]
AMOUNT OF LIEN CLAIM: $[AMOUNT]

4. This lien is filed within the time required by New Jersey mechanic's lien law (NJ Statutes § [SECTION]).

CLAIMANT SIGNATURE: _____________________ DATE: _____

VERIFICATION:
I declare under penalty of perjury that the foregoing is true and correct.
Signature: _____________________ DATE: _____

NOTARY:
State of New Jersey, County of [COUNTY]
Subscribed and sworn before me this ___ day of _______, 20__.
Notary Public: _____________________