STATEMENT OF LIEN
This is to certify that the property described as __________ is subject to a lien under Title 14, Subtitle 2 of the Real Property Article, Maryland Annotated Code, in the amount of $__________. The property is owned by ____________________.
I hereby affirm under the penalty of perjury that notice was given under § 14-203(a) of the Real Property Article, and that the information contained in the foregoing statement of lien is true and correct to the best of my knowledge, information, and belief.
______________________________ (name of party claiming lien)
The amount of the regular monthly assessments, or the equivalent of the regular monthly assessments, for common expenses, that is the basis of the priority portion of this lien as provided in § 11-110(f) or § 11B-117(c) of the Real Property Article, is $_________. This sum represents ________ months of unpaid regular assessments, at $________ per month.
Md. Code, RP § 14-203