Fill and Sign the New Mexico Claim Form

CLAIM SATISFIED NOTICE -INDIVIDUAL (N.M. Stat. Ann. § 48-2A-10) COMES NOW, _________________________________ , as a claimant entitled to a lien for labor and/or materials provided for the improvement of the property located at and described as ________________________________________________________________________ _______________________________________________________________________ , and would state as follows: 1. The undersigned claimant filed a preliminary notice on the _____ day of _____________ , 20 ______ . 2. The undersigned claimant presented his or her request for payment to the original contractors on the _____ day of _____________ , 20 ______ . 3. The name of the owner and original contractor of the residential site is _______________________________________________________________________ . 4. The following is a description of the kind of labor or materials furnished, or agreed to be furnished, for the residential site: ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ . 5. The name of the person who ordered the labor or who accepted the materials is: _______________________________ . 6. T he total cost of all the labor or materials to be furnished to the residential site is: ___________________ . 7. The cost of the labor furnished or materials already furnished is: ___________________ . 8. The balance of the money due is: ____________________ . 9. The construction lender, if any, or the owner, if there is no construction lender, was required to withhold a sufficient amount of money from the construction loan funds to satisfy the demand of the undersigned claimant. 10. Pursuant to N.M. Stat. Ann. § 48-2A-10(C), the claim has been satisfied and the undersigned claimant agrees to discharge the stop notice. This the _____ day of ______________ , 20 _______ . Claim Satisfied Notice Page 1 of 3 ______________________________ 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 Claim Satisfied Notice are true and correct to the best of his knowledge as therein stated. ______________________________ (SEAL) Notary Public My Commission Expires: _____________________ State of New Mexico County of __________________ This instrument was acknowledged before me, on the ______ day of __________________ , 20 ______ , by ____________________________________ . Notary Public My commission expires:       Type or Print Name Claim Satisfied Notice Page 2 of 3 Certificate of Delivery I, ______________________________ , hereby certify that I have delivered this day a true and correct copy of the foregoing to ________________________ , the construction lender, if applicable for the purposes of the Stop Notice Act, or the manager or other responsible person at the address of the construction loan’s origination (or, if the address of origination has changed, then to the last known address of the construction lender) and to ______________________________ , the owner at the owner’s last known residential or business address by: Personal Service/Hand-delivery Mailing a true and correct copy of same by certified or registered U.S. mail postage prepaid, return receipt requested. So certified this the _____ day of ___________ , 20 ______ . ____________________________________ Signature NM § 48-2A-10 Claim Satisfied Notice Page 3 of 3