Fill and Sign the Claim of Lien by Individual New Mexico Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: _____________________ Company: _____________________ Address: _______________________ City: ____________________ State: _____ Zip: _________ Phone: _________________ Fax: ___________________ CLAIM OF LIEN _-INDIVIDUAL (N.M. Stat. Ann. § 48-2-6) COMES NOW, _________________________________ , as a party which has provided labor and/or materials for the improvement of the property located at and described as ________________________________________________________________________ _______________________________________________________________________ , (if using the description contained in or shown by one or more maps, plats, descriptions, deeds, mortgages or other instruments of record in the office of the county clerk of the county in which the affected real estate is located, the description must include the time and place of filing or recordation of the instrument containing the description referred to, or other similar information, to locate and identify the instrument containing the description) and would state as follows: 1. The undersigned completed a contract with the property owner, or is not a contractor but ceased providing labor and/or materials, on the _____ day of _____________ , 20 ______ . 2. The undersigned is entitled to a lien, after deducting all just credits and offsets, in the amount of $ _____________ . 3. The name of the owner or reputed owner, if known, of the above-described property is ________________________________ . 4. The name of the person by whom the undersigned was employed, or to whom the undersigned furnished labor and/or materials is __________________________________ . 5. If the above mentioned labor and/or materials were provided under contract, the terms of that contract, time given, and the conditions of the contract are: ________________________________________________________________________ ________________________________________________________________________ Claim of Lien Page 1 of 2 ________________________________________________________________________ _______________________________________ . This the _____ day of ______________ , 20 _______ . ______________________________ Signature _____ _________________________ Type or Print Name STATE OF NEW MEXICO COUNTY OF __________________ Signed and sworn (or affirmed) before me under oath this the _____ day of _______________ , 20 ______ , by _________________________________ , who acknowledges that the matters and things alleged in the foregoing Lien Claim are true and correct to the best of his knowledge as therein stated. ______________________________ Notary Public My Commission Expires: (SEAL) _________________ STATE OF NEW MEXICO COUNTY OF ________________ This instrument was acknowledged before me on the _____ day of ______________ , 20 _______ by __________________________________ (name of person(s)). Notary Public, State of ________________ Printed Name: ___________________________________ Commission Expires: _______________ NM § 48-2-6 Claim of Lien Page 2 of 2