Ann F. Grossi, Esq., County Clerk
Morris County Clerk’s Office
Administration and Records Building
P.O. Box 315, 10 Court Street
Construction Lien Claim
Morristown, NJ 07963-0335
973-285-6130 |
To the Clerk, County of _____________________
1. In accordance with the terms and provisions of the "Construction Lien Law," P.L.1993,c. 318 (c. 2A:44A-
1 et seq.), notice is hereby given that
Name of claimant: ______________________________________________
Address of claimant: ____________________________________________
has on ______________________ claimed a construction lien against the below stated real property of
_______________________________________ in the amount of $___________________ for the
value of the work, services, material or equipment provided in accordance with a contract with
________________________________ for the following work, services, materials or equipment:
2. The amount due for work, services, materials or equipment delivery provided by claimant in
connection with the improvement of the real property, and upon which this lien claim is based, is as
follows:
Total contract amount:
$
Amendments to contract:
$
Total contract amount and
$
amendments to contract:
Less agreed upon credits:
$
Contract amount paid to date:
$
Amendments to contract paid to date:
$
Total reductions from contract:
$
Amount and Amendments to contract:
$
Total lien claim amount:
$
A Notice of Unpaid Balance and Right to File Lien (in any) was previously filed with the County Clerk of
________________ County on ______________________ as No. ___________ in Book ____________,
Page _______.