NOTICE OF LIEN PURSUANT TONH RSA 275-F:8, I(d)
NOTICE is hereby given that the New Hampshire department of labor claims a lien against [name and address of employer] pursuant to NH RSA 275-F:8, I(d) for liabilities arising under NH RSA 275-F:8I(d) in the aggregate amount of $___________.
In accordance with NH RSA 275-F:8, I(d), this notice shall be recorded with _______________ and shall constitute a lien against property of the employer identified above. Dated this ____ day of ________, 20___.
STATE OF NEW HAMPSHIRE
DEPARTMENT OF LABOR
By:______________________
RSA 275-F:8
2009, 325 : 1 , eff. Jan. 1, 2010.