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Launderer's Lien For Services
To: ___________________________ (owner)
This is to notify that the undersigned, _____________________(drycleaner/launderer), located at __________ (address), claims a lien on your __________________ (designate/describe clothing or household item) ___________ (add:pursuant to __________ (statute) if statutory authority exists for lien)
The undersigned ____________________ (describe what was done to the property; i.e. cleaned or pressed) the above mentioned property. The work was finished on (date). Over ___ days have passed since the work has been finished, however the described article remains in the possession of the undersigned. _____________ (the undersigned) completed services pursuant to a(n)____________ (an oral or written) contract for the agreed amount of _____________ dollars ($------).
Following the deduction of all just credits and offsets, the total amount now due to the undersigned is _________________ dollars ($------).
Further notification is given that the undersigned will liquidate the above mentioned property at _______________ (place of sale) on (date), at (time), to apply as payment for the described charges, the cost of sale of the property, and the costs of this notice, if these charges and costs are not paid within ______________ days following ________________ (the mailing or the posting) of this notice (if mailed, add: by ____________ (certified or registered) mail, with return receipt requested). The costs will be deducted from any amount that remains after payment of the lien. The remainder, if any, will be mailed to you at ____________ (address).
This Section for Notary:
State of _________
County of ________ [COUNTY]
On [DATE] before me, [NAME OF NOTARY], notary, personally appeared [NAME OF PERSON(S) INVOLVED], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
Witness my hand and official seal.
My commission expires: _____