Fill and Sign the Notice Lien Form

Notice of Landlord's Lien and of Sale To: _______________________________________________ (Tenant) Street Address or Post Office Box _____________________________________ _______________________________________________ City, state, and zip code ______________________________________________ _______________________________________________ Pursuant to the provisions of __________________________________ (cite statute) and the lease described below , __________________________________________________ (Landlord), a ____________________________________________ (state) corporation, whose principal place of business is at ________________________________________ ________________________________________________________________________ ___________________________________ (street address, city, county, state, zip code) , as Lessor, gives notice to you that Lessor claims a lien on the following personal property belonging to you, which is now on the premises of Lessor: ( designate and describe property) _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ___ You signed a lease for Apartment ______________________ (e.g., B-2) located at ______________________________________________________________________ ________________________________________________________________________ __________________________ (street address, city, county, state, zip code) , the term of which lease was _________ (number) months commencing on _____________________ (date). You took possession of the above-described premises on ____________________ (date ) , and continued to occupy the premises until _______________________________ (date ) . At the time you quit the premises you owed $______________ in back rent, which sum represents ___________ (number) months times the agreed rental of $_______________ per month. After deducting all just credits and offsets owed by Lessor to you, there remains due and unpaid from you to Lessor rent in the amount of $_____________. Therefore, the total amount for which the lien is claimed is $________________. You are further notified that you may redeem your property by payment of the total amount claimed within ______days after the mailing of this notice, which was sent by certified mail with return receipt requested to at ________________________________ ________________________________________________________________________ _____________________________ (street address, city, county, state, zip code) . If your property is not redeemed within this time, it will be sold at public auction to the highest bidders to satisfy the herein described lien. The sale will be held at __________________ _____________________________________________________ ( place of sale) on _________________________________ (date ) at ______________ (time) . The proceeds from the sale will be applied to the cost of the sale and to the lien. The remainder of the money, if any, will be mailed to you at the address mentioned above. Witness our signature this the _____ day of _____________________ 20___. ____________________________________ LIENHOLDER By: _________________________ (Name and Office in Corporation)