NC Mechanics Lien — Claim of Lien on Real Property (G.S. 44A-12)

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01 CLAIMANT INFORMATION

Claimant Name (Individual or Business) *

Claimant Address *

Phone

Contractor License # (Required if licensed)

02 CLAIMANT TYPE

Select the category that best describes the claimant

Subcontractors and suppliers must also serve a Notice to Owner (G.S. 44A-11.1) to preserve lien rights against the owner.

03 PROPERTY OWNER INFORMATION

Owner Name *

Owner Address

County Where Property is Located *

Parcel PIN (Tax Parcel ID) *

Property Street Address

04 PROPERTY LEGAL DESCRIPTION

Legal Description of Property

The legal description must be sufficient to identify the property. Obtain from the deed, a plat, or the county GIS. Do not rely solely on a street address.

05 CONTRACT INFORMATION

Who Hired the Claimant

Name of Hiring Party

Contract Date

Work / Materials Start Date

Last Date of Furnishing Labor or Materials *

120-DAY DEADLINE: This lien must be filed within 120 days of the last date of furnishing labor or materials. Missing this deadline permanently extinguishes the lien (G.S. 44A-12).

06 LIEN AMOUNT

Labor ($)

Materials ($)

Equipment Rental ($)

Total Lien Amount (auto-calculated; editable) *

07 DESCRIPTION OF LABOR / MATERIALS FURNISHED

Describe the labor performed and/or materials furnished

08 CERTIFICATION

The undersigned claimant certifies under penalty of perjury that the foregoing is true and correct, and that this Claim of Lien on Real Property is filed pursuant to G.S. 44A-12.

Date of Signing *

MECHANICS LIEN RULES

File with Register of Deeds in the county where the property is located.
120-day deadline from last date of furnishing — NO exceptions.
Must be filed before or during the Project within the 120-day window.
Serve a copy on the property owner by certified mail (G.S. 44A-11).
Suit to enforce the lien must be filed within 180 days of the last furnishing date.
Subcontractors/suppliers must also serve a Notice to Owner (G.S. 44A-11.1).

STATUTORY REFERENCE

G.S. 44A-7Definitions — contractor/subcontractor/supplier

G.S. 44A-8Lien on real property — right

G.S. 44A-11Notice to owner — required

G.S. 44A-12Claim of lien — contents

G.S. 44A-12(b)120-day deadline

G.S. 44A-13Enforcement — 180-day suit deadline

Claim of Lien on Real Property (Mechanics Lien)

MECHANICS LIEN RULES

STATUTORY REFERENCE