Construction Lien Claim Questionnaire

A NJ Construction Lien Claim on a job must be filed within 90 days from the last date work was performed or materials were provided. To file your lien, fill out this lien claim questionnaire and hit “send form”. You will be requested to enter your credit card information on our secure payment gateway, and be billed $385, calculated as follows: $350 - attorney's fee; $35 court filing fee. For more information on how this service works, please click here.

Please Note: a construction lien claim on a residential 1-family house requires the filing of a Notice of Unpaid Balance (NUB); and arbitration to grant permission to file a construction lien claim against a single-family residence. This will affect the price and cost of filing the residential lien claim in NJ.

Your Info:

Your Company Information
Name of your company:
Contact Name:
Email Address:
I prefer to receive my lien via:

Your Mailing Address (no PO Boxes)
Street:
City:
State: Zip:
Phone number:
Fax number:
Cell number:

 

Signer's Info:

Full name and title of person signing lien:
Name:
Title:

 

Contractor(s) Info:

Contractor's Name and Address
Name of contractor that hired you:
Street:
City:
State: Zip:

Prime Contractor's Name and Address
(If you are a sub to a sub-contractor)
Name of prime contractor:
Street:
City:
State: Zip:

 

Jobsite:

Job Site Location
The exact address where you did the work:
County in which the work was performed:

Owner's Name and Address
Name of owner of the premises:
Street:
City:
State: Zip:

Description of Labor and Materials
Describe labor performed:
Describe materials provided:
Describe materials fabricated that were not put in the job:
The agreed price and value of the labor performed (include both paid and unpaid labor): $
The agreed price and value of the materials provided (include both paid and unpaid materials): $
The agreed price and value of the materials actually manufactured but not delivered to the real property (include both paid and unpaid materials not delivered): $
Total agreed price and value of the contract: $
The amount unpaid for labor performed: $
The amount unpaid for materials provided: $
The amount unpaid for materials manufactured but not delivered: $
What is the total amount of lien: $

Last Dates of Labor Performed and/or Materials Provided

Remember you must file 90 Days from the date you last worked
on site or provided materials.
Last date you performed labor: / / Pick a date.
Last date you provided materials: / / Pick a date.