Fill and Sign the Lien Real Estate 497329463 Form

NOTICE OF LIEN ON REAL ESTATE FOR CRIMINAL BOND To __________, clerk (or register) of the county of ___________________, and all others whom it may concern: Please take notice that _____________________________________________________ 1. The people of the state of __________ represented by ________________ attorney general of the state of __________, (or district attorney of the county of ______________) has and claims a bail bond lien on the following described real property: Describe 2. The name of the owner of the real property against whose interest therein a lien is claimed is __________ and the interest of the owner so far as known to the lienors is a fee simple absolute. 3. The name and address of the surety who entered into the undertaking of bail with the people of the state of __________ is _________________ residing at _______________ street, in the borough of ____________, city of ______________ (or town, village or county); the name and address of the principal for whom the surety has entered into such undertaking of bail is residing at ____________ street, in the borough of ______________, city of __________ (or town, village or county). The type of undertaking of bail and the amount thereof is a consolidated bail bond in the sum of $ __________. 4. The criminal charge against the principal for which such undertaking of bail is given is _____________. The date of such undertaking and place of execution thereof are _______________ ______, at the ______________ court of the county of _____________ (or city, town or village). 5. The property subject to the lien is situated in the borough of ________________, county of ___________ city of ____________. It is known as number _____________ street or avenue, and is described as follows: ______ ______________ Description. Dated, ______________, _______. __________________________ Attorney General of the State of __________ ______________ (District Attorney of the County of ____________) By Assistant Attorney General (Assistant District Attorney or Deputy Assistant District Attorney). ACKNOWLEDGMENT State of __________ County of _________ ____________________, being duly sworn, says that he is an assistant attorney general (or assistant district attorney, or deputy assistant district attorney, as the case may be) in the office of the honorable __________________, attorney general of the state of __________ (or district attorney of the county of ______________), the claimant for the people of the state of __________ mentioned in the foregoing notice of lien. That he has read the said notice and knows the contents thereof and that the statements contained therein are true of his own knowledge, except as to those matters therein stated to be alleged upon information and belief and that as to those matters he believes them to be true. Sworn to before me this _______ day of ____________, ______. ______________ Notary Public My Commission Expires: ______________