-IMPORTANT-
STATE OF NEVADA
A landlord lien for unpaid rentals and
MANUFACTURED HOUSING DIVISION
utilities may not exceed $2,500 or the
1830 E College Pkwy Suite 120
total amount due, whichever is less. The
Carson City, NV. 89706
Division will not accept a Notice of Lien
from a landlord if the amount is more
mhd.nv.gov
than $2,500.
NOTICE OF LIEN
MANUFACTURED HOME/ MOBILE HOME / COMMERCIAL COACH
_________________________________________________________________________________________________
TO
(NAME OF REGISTERED OWNER)
______________________________________________________________________________________________________________________________
Address
Street Address
City
State
Zip Code
TO_
___________________________________________________________________________________________________________________________________
(LEGAL OWNER, IF DIFFERENT FROM REGISTERED OWNER)
______________________________________________________________________________________________________________________________
Address
Street Address
City
State
Zip Code
_________________________________________________________________________________________________
TO
(PERSON HOLDING A SECURITY INTEREST)
______________________________________________________________________________________________________________________________
Address
Street Address
City
State
Zip Code
________________________________________________________________________________________________
TO
(TENANT OR SUBTENANT)
______________________________________________________________________________________________________________________________
Address
Street Address
City
State
Zip Code
_________________________________________________________________________________________________
TO
(NAME OF ANY OTHER PERSON KNOWN TO HAVE OR TO CLAIM AN INTEREST IN THE
MANUFACTURED HOME, MOBILE HOME OR COMMERCIAL COACH DESCRIBED BELOW)
______________________________________________________________________________________________________________________________
Address
Street Address
City
State
Zip Code
TO:
State of Nevada, Department of Business and Industry, Manufactured Housing Division
PLEASE TAKE NOTICE THAT,
________________________________
________________________________________________________________________________________,
of_
Address
(NAME OF LIEN CLAIMANT)
Nevada, in his/her own behalf or on behalf of _________________________________________________________________, a business whose
(NAME OF BUSINESS, IF APPLICABLE)
address is __________________________________________________________________________, and on whose behalf and in the capacity of________
Address
_____________________________________________________________________, claims a lien pursuant to the provisions of NRS 108.267 to
(TITLE OR POSITION)
108.360, inclusive, on the manufactured home, mobile home or commercial coach described as follows:
Year___________________Make____________________Size____________________________Serial No._____________________________________________________
The lien is claimed for _______________________________________________incurred by___________________________________________________________
(REASON FOR LIEN)
(NAME OF OBLIGOR)
in the following amounts: Rent: $___________________for period _________________to________________, became due on __________________.
Date
Utilities: $__________________for period _____________________to __________________, became due on___________________________________________.
Date
Charges for towing, storing, maintaining, keeping, or repairing a manufactured home, mobile home or commercial
coach, or for furnishing accessories, facilities, services or supplies therefore(please describe):
_____________________________________________________________________________________________________________________________________________________
$_______________________ became due on _____________________________________________.
Date
Costs of lien (Please describe):________________________________________________________________________________________________________________
Total Currently Due: $_____________________________. In addition to this amount, a further claim may accrue as follows:
(Describe any amounts which may accrue after date of Notice of Lien and the rate at which they will accrue.)
_____________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________
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(Revised 4/2014)