Claim of Lien – Condominium
Lien Submittal Form
State of New York
Entity Information
Entity Name (Condo)
Street Address
Apt, Suite
(Optional)
City
State
ZIP Code
Email
Telephone
Payoff Request
Same as Entity Information
Care of
(c/o)
Street Address
Apt, Suite
(Optional)
City
State
ZIP Code
Entity Filing Information
Entity Filing Date
(Optional)
Instrument Number / Liber
(Optional)
Filing Receipt
(Optional · PDF, DOCX, image)
County Was Filed In
Select a county…
Albany
Allegany
Bronx
Broome
Cattaraugus
Cayuga
Chautauqua
Chemung
Chenango
Clinton
Columbia
Cortland
Delaware
Dutchess
Erie
Essex
Franklin
Fulton
Genesee
Greene
Hamilton
Herkimer
Jefferson
Kings
Lewis
Livingston
Madison
Monroe
Montgomery
Nassau
New York
Niagara
Oneida
Onondaga
Ontario
Orange
Orleans
Oswego
Otsego
Putnam
Queens
Rensselaer
Richmond
Rockland
Saint Lawrence
Saratoga
Schenectady
Schoharie
Schuyler
Seneca
Steuben
Suffolk
Sullivan
Tioga
Tompkins
Ulster
Warren
Washington
Wayne
Westchester
Wyoming
Yates
Assessment & Collection Totals
Delinquent As Of
$ Assessments
$ Collection Cost & Attorney's Fees
$ Late Charges
Total Amount Due
Total must be at least $1.00
Property details
Property Street Address
Apt, Suite
(Optional)
City
State
ZIP Code
SBL (Section-Block-Lot)
Homeowner of Record
Authorized Signer Information
Signer Name
Signer Title
Entity Name
Mirrors the entity name from the top of the form.
Submit
