New York Mechanics Lien Template

Information you will need

• What's the county where this notice of mechanic's lien is being filed?
• What's the lienor's name?
• What are the names and addresses of the lienors?
• What's the lienor's business composed of? (if applicable)
• What's the lienor's business address?
• What's the address of the lienor's principal place of business?
• What's the name of the lienor's attorney? (if applicable)
• What's the property owner's name?
• What’s the owner’s interest in the property?
• What's the employer's name?
• Who received or will receive materials, services, or labor from the lienor?
• Who made the contract with the lienor?
• Who received professional services from the lienor? (if applicable)
• What was the labor that was performed? (if applicable)
• What’s the lienor’s entity type?
• What material was furnished? (if applicable)
• What materials were manufactured but never delivered? (if applicable)
• What's the agreed price and value of the labor performed?
• What's the agreed price and value of the material furnished?
• What's the agreed price and value undelivered materials?
• What's the agreed price and value of labor and materials?
• What's the total unpaid amount for labor performed?
• What's the total unpaid amount for furnished materials?
• What's the total unpaid amount for undelivered materials?

…and 46 more fields in the PDF.

Completed by the agent and the contractor.

The form includes 3 signature lines, a notary acknowledgment.