Mechanic’s Lien Forms NY | New York Lien Law

A Mechanic’s Lien is a document recorded against the property you improved asserting a claim for the monies you are owed. By filling out the form below, MetroLiens will be able to file and record your lien, providing public notice that you have unpaid claims against the property. After the lien is filed, an attorney may be able to commence a lien foreclosure action, foreclosing the lien for your benefit in a manner similar to a mortgage foreclosure.

Lien

PART I: YOUR COMPANY INFORMATION
Company Name*
Contact Name*
First Last
Company Type*
Other Company Type
Address*
Street Address City State ZIP Code
Email*
Phone*
FAX
PART II: WHO HIRED YOU
Debtor Company Name*
Debtor Contact Name*
First Last
Debtor Company Type*
Debtor Other Company Type
Debtor Address*
Street Address City State ZIP Code
Debtor Email
Debtor Phone
Debtor FAX
Were you hired by a(n):
General Contractor Company Name
General Contractor Contact Name
First Last
General Contractor Company Type
General Contractor Other Company Type
General Contractor Address
Street Address City State ZIP Code
PART III: THE PROPERTY/JOB TO BE LIENED
General Contractor Company Name
General Contractor Contact Name
First Last
General Contractor Company Type
General Contractor Other Company Type
General Contractor Address
Street Address City State ZIP Code
Owner Name
(Only if known, for example, XYZ Condominium Company, or ABC Office Developer)
Owner Address
Street Address City State ZIP Code
Property Address
Street Address City State ZIP Code
Property Block
(Only if known)
Property Lot
(Only if known)
Is this property owned by a governmental entity, for example, Federal or State Government, School District, Etc?
- Yes
- No
- I Don't Know
PART IV: WORK PERFORMED/AMOUNT OWED
The work performed/materials provided:
(Set forth in detail the nature of the work performed and/or materials provided)
Did you improve public property?
- Yes
- No
Public Property Details
(Please describe the project in detail, i.e., a Public School XYZ or a City Office ABC)
Date of Contract
(Estimate if necessary)
Total of the contract (including all change orders)
Total paid under the contract
Total owed (the lien amount)
First date work was performed
Last date work was performed
Legal Agreement*
I have read the foregoing, and acknowledge that MetroLiens is under no obligation to file on my behalf until such time as my payment has cleared. By submitting this form, and engaging MetroLiens' services, you hereby appoint MetroLiens, and its agents, as your attorney in fact in connection with the execution and filing of all Mechanic’s Lien documents incorporating the information contained herein and thereby authorize the execution and filing of the same. You further attest to the accuracy of all factual matters set forth herein. Any dispute(s) related to MetroLiens services shall be asserted in writing within thirty (30) days after you become aware of any such dispute, and must be resolved first through mediation, then through non-binding arbitration, prior to the initiation of litigation. You hereby submit to the jurisdiction of the Supreme Court of the State of New York, County of New York in connection with any such litigation. All liens filed by MetroLiens may require up to ten (10) business days to process, unless you contact MetroLiens directly by phone to request expedited service.
- Accepted and Agreed
$265.00

Lien

PART I: YOUR COMPANY INFORMATION

PART II: WHO HIRED YOU

PART III: THE PROPERTY/JOB TO BE LIENED

PART IV: WORK PERFORMED/AMOUNT OWED