Fill and Sign the Amendment to Construction Lien Claim Form

Amendment to Construction LienPage 1 of 4 Prepared by: After Recording, Return to: AMENDMENT TO CONSTRUCTION LIEN CLAIM (Individual Claimant) TO THE CLERK, COUNTY OF : 1. On , the undersigned, (Date) (Name of Claimant) of , (Address of Claimant) filed a CONSTRUCTION LIEN CLAIM in the amount of ($ ) DOLLARS for the value of the work, services, material or equipment provided in accordance with the contract between claimant and (Name) as of . (Date) 2. This construction lien claim was claimed against the interest of , as: (Name) owner, unit owner, community association or other party; (if “other," describe: (Check One) )" in that certain tract or parcel of land and premises described as Block , Lot , on the tax map of the (municipality) of , County of _______________, State of New Jersey, for the improvement of which property the aforementioned work, services, material or equipment was provided. If the claim was against a community association in accordance with section 3 of P.L. 1993, c. 318 (C. 2A:44A-3), set forth the name of the community association and the name and location of the property development: Name of Community Association: Location of Property Development: Name of Property Development: Amendment to Construction LienPage 2 of 4 3. This amends a lien claim which was previously lodged for record on , 20 and filed with the County Clerk of County on , 20 and recorded on , 20 as No. in Book No. , Page . A Notice of Unpaid Balance and Right to File Lien (if any) was previously filed with the County Clerk of on , 20 and recorded on , 20 as No. in Book No. , Page . 4. Amendments to the original claim were recorded in the office of the County Clerk on , 20 as No. in Book No. , Page . (Complete if applicable) 5. Effective the date of the lodging for record of this AMENDMENT TO CONSTRUCTION LIEN CLAIM, the value of the lien is claimed to be in the total amount of ($ ) DOLLARS, inclusive of all prior lien claims or amendments thereof. 6. The work, services, material or equipment provided upon which this Amendment is made are: a. b. c. d. 7. The date of the provision of the last work, services, material or equipment for which payment is claimed is , 20 . 8. The reason for this amendment is: CLAIMANT'S REPRESENTATION AND VERIFICATION Claimant represents and verifies under oath that: 1. I have authority to file this claim. 2. The claimant is entitled to the amount claimed at the date of lodging for record of the claim, pursuant to claimant's contract described above. Amendment to Construction LienPage 3 of 4 3. The work, services, material or equipment for which this lien claim is filed was provided exclusively in connection with the improvement of the real property which is the subject of this claim. 4. This claim form has been lodged for record with the County Clerk where the property is located within 90 or, if residential construction, 120 days from the last date upon which the work, services, material or equipment for which payment is claimed was provided. 5. This claim form has been completed in its entirety to the best of my ability and I understand that if I do not complete this form in its entirety, the form may be deemed invalid by a court of law. 6. This claim form will be served as required by statute upon the owner or community association, and upon the contractor or subcontractor against whom this claim has been asserted, if any. 7. The foregoing statements made by me in this claim form are true, to the best of my knowledge. I am aware that if any of the foregoing statements made by me in this claim form are willfully false, this construction lien claim will be void and that I will be liable for damages to the owner or any other person injured as a consequence of the filing of this lien claim. Signature of Claimant Print or Type Name Title (if any) STATE OF NEW JERSEY COUNTY OF ss: On this day of , 20 , before me, the subscriber, personally appeared who, I am satisfied, is the person named in and who executed the within instrument, and thereupon acknowledged that claimant signed, sealed and delivered the same as claimant's act and deed, for the purposes therein expressed. Signature of Notary Public NOTARY SEAL NOTICE TO OWNER OF REAL PROPERTY NOTICE TO CONTRACTOR OR SUBCONTRACTOR, IF APPLICABLE The owner's real estate may be subject to sale to satisfy the amount asserted by this claim. Amendment to Construction LienPage 4 of 4 However, the owner's real estate cannot be sold until the facts and issues which form the basis of this claim are decided in a legal proceeding before a court of law. The lien claimant is required by law to commence suit to enforce this claim. The claimant filing this lien claim shall forfeit all rights to enforce the lien claim and shall be required to discharge the lien claim of record, if the claimant fails to bring an action in the Superior Court, in the county in which the real property is situated, to establish the lien claim: 1. Within one year of the date of the last provision of work, services, material or equipment, payment for which the lien claim was filed; or 2. Within 30 days following receipt of written notice, by personal service or certified mail, return receipt requested, from the owner or community association, contractor, or subcontractor against whom a lien claim is filed, as appropriate, requiring the claimant to commence an action to establish the lien claim. You will be given proper notice of the proceeding and an opportunity to challenge this claim and set forth your position. If, after the owner (and/or contractor or subcontractor) has had the opportunity to challenge this lien claim, the court of law enters a judgment against any of you and in favor of the claimant filing this lien claim, and thereafter judgment is not paid, the owner's real estate may then be sold to satisfy the judgment. A judgment against a community association for a claim of work, services, material or equipment pursuant to a contract with that community association cannot be enforced by a sale of real estate. The owner may choose to avoid subjecting the real estate to sale by the owner (or contractor) by either: 1. Paying the claimant and obtaining a discharge of lien claim from the claimant, by which the owner will lose the right to challenge this lien claim in a legal proceeding before a court of law; or 2. Causing the lien claim to be discharged by filing a surety bond or making a deposit of funds as provided for in section 31 of P.L. 1993, c. 318 (C. 2A:44A-31), by which the owner will retain the right to challenge this lien claim in a legal proceeding before a court of law.