Fill and Sign the New Mexico Notice Claim Form

NOTICE OF RIGHT TO CLAIM LIEN--INDIVIDUAL (N.M. Stat. Ann. § 48-2-1.1) COMES NOW, ___________________________________ , as a party who has furnished labor and/or materials for the improvement of the property located at and described as ________________________________________________________________________ _______________________________________________________________________ , and would state the following: 1. The name, address and phone number, if any, of the claimant is ________________________________________________________________________ _______________________________________________________________________ . 2. The name and address of the person with whom the claimant contracted or to whom the claimant furnished labor or materials, or both, is _______________________________________________________________________ . 3. The undersigned claimant began providing labor and/or materials for the improvement of the above-described property on the _____ day of _______________ , 20 ______ . 4. The undersigned would hereby provide notice that in the event of non-payment the undersigned in entitled to claim a lien against the above described property in the amount of $ ____________ . 5. Pursuant to New Mexico statute, this notice is not required for liens claimed on residential property containing four or fewer dwelling units or to claims of liens made by mechanics or materialmen who contract directly with the original contractor. This the _____ day of ________________ , 20 ______ . ______________________________ Signature _____ _________________________ Type or Print Name Notice of Right to Claim Lien Page 1 of 2 Certificate of Delivery I, ___________________________________ , hereby certify that I have delivered this day a true and correct copy of the foregoing to the property owner or original contractor, ____________________________________ by: ( ) Personal Service ( ) Fax with Acknowledgement ( ) Mailing a true and correct copy of same by certified U.S. mail, postage prepaid, return receipt requested to ______________________________________ . So certified this the _____ day of ___________ , 20 ______ . ______________________________ Signature NM § 48-2-2.1(B) Notice of Right to Claim Lien Page 2 of 2