Fill and Sign the Notice by Contractor of Dispute of Lien Claim Individual Form

Notice by Contractor of Dispute of Lien Claim – Individual Page 1 of 2 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: , who is the Owner, Lessee, Community Association or Other: (describe) Notice by Contractor of Dispute of Lien Claim – Individual Page 2 of 2and 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 , 206666, as No. in Book No. , Page . A Notice of Unpaid Balanceand 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