Fill and Sign the New York Assignment of Lien by Corporation or Llc Form

Assignment of Lien Page 1 of 2 Prepared by, recording requested by and return to: Name: ___________________ Company: _________________ Address: _____________________ City: __________________ State: _____ Zip: _________ Phone: ________________ Fax: _________________ ----------------------Above this Line for Official Use Only--------------------- Assignment of Lien – Corporation (N.Y. Lien Law § 14) COMES NOW, __________________________________, as a representative of _______________________________ a __________________________________ corporation which has provided labor or materials for the improvement of the property located at and described as ______________________________________________________________________, and would state as follows: 1. On or about the _____ day of _______________, 20______ the undersigned lien claimant, _________________________________, of the following address _______________________________________________________________________, filed a Notice of Lien regarding the above described property in the amount of $_________________. 2. Said lien is hereby expressly assigned to ________________________________, of the following mailing address, _______________________________________________________________________. This the _____ day of _______________, 20_______. ________________________ Signature________________________ Type or Print Name________________________ Title________________________ Corporation Attest: Secretary Assignment of Lien Page 2 of 2 I, _______________________________, do hereby swear or affirm that the matters alleged and things contained in the above Notice of Lien are true and correct to the best of my knowledge, information, and belief. ________________________ Affiant STATE OF NEW YORK COUNTY OF _________________ On the _____ day of _______________ in the year ________ before me personally came ___________________________________ to me known, who, being by me duly sworn, did depose and say that he/she/they reside(s) in ________________________________________________________________________ (if the place of residence is in a city, include the street and street number, if any, thereof); that he/she/they is (are) the ___________________________________ (president or other officer or director or attorney in fact duly appointed) of the __________________________________ (name of corporation), the corporation described in and which executed the above instrument; and that he/she/they signed his/her/their name(s) thereto by authority of the board of directors of said corporation. ______________________________ Notary Public Printed Name: _________________ My Commission Expires: _____________________