Fill and Sign the Nj Contractor Lien Form

NOTICE BY CONTRACTOR OF DISPUTE OF LIEN CLAIM- INDIVIDUAL [N.J. Stat. § 2A:44-12] Date:       To: Owner - Name and Address                   Community Association - Name and Address (if applicable)                   Lien Claimant - Name and Address                   This Notice is provided by the Contractor:       . On       , 20       , the Lien Claimant:       , whose address is:       , filed a CONSTRUCTION LIEN CLAIM in the amount of $             DOLLARS for the value of the work, services, material or equipment provided in accordance with the contract between claimant and       as of the       day of       , 20       . This construction lien claim was claimed against the interest of: Notice by Contractor of Dispute of Lien Claim – Individual Page 1 of 2       , who is the Owner, Lessee, Community Association or Other:       (describe) and concerns that certain tract or parcel of land and premises described as Block       , Lot       , on the tax map of the       of       , County of       , State of New Jersey, for the improvement of which property the aforementioned work, services, materials or equipment was provided. This disputes the lien claim which was previously filed with the County Clerk of       County on the       day of       , 20      , as No.       in Book No.       , Page       . A Notice of Unpaid Balance and Right to File Lien (if any) was previously filed with the County Clerk of       County on the       day of       , 20       , as No.       in Book No.       , Page       . It is hereby alleged that the Lien Claimant is not owed the monies claimed because:       This the       day of       , 20       . ______________________________ Signature of Contractor _____ _________________________ Type or Print Name Notice by Contractor of Dispute of Lien Claim – Individual Page 2 of 2