CLAIM OF LIEN
Sent Via Certified Mail RRR #CERTIFIED MAIL NUMBER
NAME OF OWNER
ADDRESS OF OWNER
AMENDED CLAIM OF LIEN
STATE OF FLORIDA )
COUNTY OF DADE )
WARNING!
THIS LEGAL DOCUMENT REFLECTS THAT A CONSTRUCTION LIEN HAS BEEN PLACED ON THE REAL PROPERTY LISTED HEREIN. UNLESS THE OWNER OF SUCH PROPERTY TAKES ACTION TO SHORTEN THE TIME PERIOD, THIS LIEN MAY REMAIN VALID FOR ONE YEAR FROM THE DATE OF RECORDING, AND SHALL EXPIRE AND BECOME NULL AND VOID THEREAFTER UNLESS LEGAL PROCEEDINGS HAVE BEEN COMMENCED TO FORECLOSE OR TO DISCHARGE THIS LIEN.
This amendment is recorded in accordance with Section 713.08(4) of the Florida Statutes, amending and superseding a previous Claim of Lien recorded by the lienor in the Official Records Book BOOK, Page PAGE in the BROWARD COUNTY COMMISSIONERS RECORDS DIVISION ----(OR)--- OFFICE OF THE CLERK OF THE CIRCUIT COURT OF DADE COUNTY , against the following real property.
BEFORE ME, the undersigned authority, personally appeared, Agent for lienor, who, after being duly sworn, deposes and says that he is the General Manager, of the Lienor herein, lienor, and that in pursuance of a contract with NAME OF PERSON(S) WHO CONTRACT IS WITH, whose address is ADDRESS OF PERSON WHO CONTRACT IS WITH, the Lienor furnished labor, materials, and/or services consisting of TYPE OF WORK work, on the following described real property located in NAME OF COUNTY WHERE PROPERTY IS LOCATED County, Florida:
LEGAL DESCRIPTION OF PROPERTY
which property is owned by:
NAME OF OWNER
ADDRESS OF OWNER
Said labor, materials, and/or services were of a total value of $TOTAL VALUE OF LABOR, SERVICES, AND MATERIAL THAT WAS ACTUALLY FURNISHED TO THE PROPERTY! of which there remains unpaid $TOTAL UNPAID AMOUNT OF THE LABOR, SERVICES, AND MATERIAL THAT WERE ACTUALLY FURNISHED TO THE PROPERTY!. The first of said labor, materials, and/or services was furnished on DATE WHEN SERVICES, LABOR OR MATERIALS WERE FIRST RENDERED!, and the last of same on DATE WHEN SERVICES, LABOR OR MATERIALS WERE LAST RENDERED!, and [if the lien is claimed by one not in privity with the owner] that Lienor served its Notice To Owner to the Owner on DATE NOTICE TO OWNER SERVED, and [if sub-sub contractor, a materialman to a subcontractor] that Lienor served its Notice To Owner to the Contractor, NAME OF CONTRACTOR, on DATE NOTICE TO OWNER SERVED and [if a materialman to a sub-subcontractor] that Lienor served its Notice To Owner to the Subcontractor, NAME OF SubCONTRACTOR, on DATE NOTICE TO OWNER SERVED.
LIENOR
BY: _________________________________
Agent for lienor
AFFIRMED AND SUBSCRIBED BEFORE ME this ____ day of _____________, 200__, by Agent for lienor, who is personally known to me or produced _____________ identification.
_____________________________________________
NOTARY PUBLIC
Printed Name:
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