Materialman'S And Mechanic'S Claim Of Lien - Cobb County printable pdf download

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Materialman’s and Mechanic’s Claim of Lien

(Print or type legibly)

State of Georgia, Cobb County

________________________________________, engaged in the business of improving real estate by performing

services, furnishing labor, materials and/or equipment, claims a lien in the amount of ______________ plus

interest thereon as provided by law, upon certain building and the real estate upon which it is erected of:

property owner(s), for satisfaction of a claim which became due on _______________ for building, repairing,

improving and/or furnishing material and labor for a building or structure. Said labor, materials, or equipment were

furnished by the undersigned lien claimant at the instance of

The real estate in Cobb County, Georgia being more particularly described as:

This claim of lien expires and is void 395 days from the date of filing of the claim of lien if no notice of

commencement of lien action is filed in that time period. Note To Owner: The property owner has the right

to contest the claim of lien pursuant to O.C.G.A. 44-14-368.

This notice and Claim of Lien is filed for record in the Office of the Clerk of the Superior Court of this County where the

property is located pursuant to O.C.G.A. 44-14-360 et. seq. within 90 days after the last furnishing or performance of the

aforementioned labor, service or material.

DATE

Signature

Printed Name

ITS:

(Title)

_______________________________TO RELEASE CLAIM OF LIEN __________________________________

Instructions: To release this lien in the public record filings, the Lien Claimant must sign the information below the original lien,

and then mail the original lien and a $7.00 check payable to “The Clerk of Superior Court of Cobb County”.

Mail to: Superior Court Clerk of Cobb County, 10 East Park Square, Marietta, Ga. 30090-9640 ATTN: Lien filings

This instrument is hereby cancelled, and the Clerk of Superior Court of the aforementioned County is hereby

authorized and directed to satisfy it of record. This _____ day of ___________, 20____.

Title

Materialman'S And Mechanic'S Claim Of Lien - Cobb County