NOTICE
JEWELER'S LIEN
To: ____________________________
(owner)
____________________________
(address)
____________________________
____________________________
This is to notify that the undersigned,
________________________________________
(jeweler), located at
_____________________________________________________
(address), claims a lien on your
____________________________________________
(designate/describe jewelry)
_______________________________________________
(add pursuant to
________________________________________ (statute) if statutory authority
exists for lien).
The undersigned performed the following duties on
the described property: ______________________________________________________
(duties performed). The following items were also supplied by the undersigned
in working on the property:
Item Quantity Price
_____________________ _______ $__________
_____________________ _______ $__________
_____________________ _______ $__________
Total $__________
The work was completed on _________________________
(date), and the property remains unclaimed and in the possession of the
undersigned.
The undersigned performed the duties _______________________________________
(pursuant to _____________________________ (a
written or a oral agreement/contract establishing a price) of
__________________ dollars ($__________).
After deducting all offsets and credits, the amount
still unpaid and owing, is _________ dollars ($__________).
You may redeem your property by paying the above
amount _________________ days after the ________________________ (mailing or
posting) of this notice. The property
will be sold if it is not redeemed within the specified time. The property will be sold at
____________________________ (place of sale), on _____________________ (date),
at _____________________ (time). This
will be subtracted from the amount claimed by the undersigned. The costs incurred by the undersigned in the
above mentioned process will be deducted from any amount that remains after the
lien has been paid. Any remaining
amount will be mailed to you at _____________________________
___________________________________________________________________ (address)
_________________________ _____________________
Signature Date
_________________________ _____________________
Signature Date
