Public Improvement

  • PLEASE PROVIDE:

  • INFORMATION ABOUT THE WORK PERFORMED OR MATERIALS FURNISHED

  • I/we request, hire and authorize NYLIENS LLC, Rosen Law LLC, its members and/or employees to act as my/our Agent to file a Notice of Mechanic's Lien against the property indicated herein with the information that we have provided. We agree to hold harmless and indemnify NYLIENS LLC, Rosen Law LLC its members and its employees for any actions or proceedings brought against NYLIENS LLC, Rosen Law LLC its members and its employees as a result of the filing of the Mechanic's Lien including for the willful exaggeration of a Notice of Mechanic's Lien. The maximum liability of NYLIENS LLC, Rosen Law LLC its members and its employees for any and all reasons whatsoever, shall not exceed the actual funds paid by me/us for the filing of the Notice of Mechanic's Lien. We understand that a Mechanic's Lien must be filed within 120 days from the last date that we provided materials or labor to the job for single family homes and residential condominium units or eight (8) months from the last date that we provided materials or labor to the job for all other properties. NYLIENS LLC, Rosen Law LLC, its members and its employees do not guaranty that the Mechanic's Lien will be timely filed unless we are in receipt of this form, properly completed at least 30 days prior to the expiration of the applicable time period. We agree to pay NYLIENS LLC the sum of the corresponding fee(s) listed on the rate schedule located at NYLIENS.COM as of the date of this application for the service(s) requested to be provided in this application (the "fee"). The fee includes the preparation of the mechanic's lien, the filing of the Mechanic's Lien with the County Clerk in the County where the property is located and the sending by Certified Mail of one Notice of Mechanic's Lien to the Owner of the property provided that I/we provide the proper name and address of the Owner. If we do not have the Owner's name and NYLIENS LLC obtains the name of the Owner and it is not correct, we will not hold NYLIENS LLC, Rosen Law LLC or its members and/or employees liable for the failure to locate the correct name of the Owner. I/we represent that if a license if or was required to perform the work, labor and services that I/we performed that we held the required licenses. NYLIENS LLC includes with this filing service, sending one notice to the owner. Additional notices to the general contractors will be included for $50.00 (include this information in the space provided below).
  • CREDIT CARD PAYMENT INFORMATION:

  • Typically 3 digits found on the back of the card
  • I HAVE READ THE ABOVE AND I AGREE TO THE TERMS AND CONDITIONS SET FORTH ABOVE AND I/WE AUTHORIZE NYLIENS LLC AND/OR ITS AFFILIATES INCLUDING ROSEN LAW LLC TO CHARGE MY/OUR CREDIT CARD THE AMOUNT OF THE FEE, AS DEFINED ABOVE, INCLUDING ADDITIONAL SUMS LISTED ON NYLIENS.COM AS OF THE DATE OF THIS APPLICATION FOR ADDITIONAL NOTICES TO GENERAL CONTRACTORS AND FOR EXPEDITED PREPARATION AND FILING OF ANY REQUESTED MECHANIC'S LIEN, SATISFACTION, OR EXTENSION (“LIEN-RELATED FILING”) AND TO KEEP THE CREDIT CARD NUMBER ON FILE FOR FUTURE LIEN FILINGS. NYLIENS LLC WILL NOT FILE THE NOTICE OF MECHANIC'S LIEN UNTIL RECEIPT OF PAYMENT BY NYLIENS LLC. IN THE EVENT THAT NYLIENS LLC PREPARES A NOTICE OF MECHANIC'S LIEN AND SENDS IT TO ME/US [THE APPLICANT(S)] FOR SIGNATURE, AND I/WE DECIDE NOT TO HAVE THE NOTICE OF MECHANIC'S LIEN FILED, THEN I/WE AGREE TO PAY $400.00 TO NYLIENS LLC FOR THE PREPARATION OF THE NOTICE OF MECHANIC'S LIEN. There will be a 3% convenience fee for payments made by credit card.
  • How did you hear about NYLIENS?

    If you select "Yes," we will send you an "Agent Authorization Form" to physically sign and return to us.