New Mexico Mechanics Lien Release Form

New Mexico Construction Lien Claim Form

I. Claimant Information

Claimant Name (Individual/Sole Proprietor):

Claimant Address:

City: State: Zip Code:

Claimant Phone Number:

II. Property Owner Information

Owner or Reputed Owner Name:

Owner Address (if different from job site):

III. Contracting Party Information

Name of person who employed claimant or ordered materials:

Contracting Party Address:

IV. Job Site and Property Description

Job Site Address (Property Address):

Legal Description of Property (if available, or sufficient for identification):

V. Work Performed / Materials Furnished

Date work/materials initially furnished:

General Description of Labor, Services, Equipment, or Materials Furnished:

Terms, Time Given, and Conditions of the Contract:

Total Estimated Price of Work/Materials (from Preliminary Notice, if applicable):

Amount of Demand (after deducting all just credits and offsets):

VI. Important Dates

Date of Completion of Building/Improvement/Structure:

Date Notice of Right to Claim Lien was given (if applicable):

Date Preliminary Notice was filed (if applicable):

VII. Verification and Signature

I hereby certify that the information provided above is true and accurate to the best of my knowledge and belief.

Printed Name: