New York Demand for Itemized Statement - Individual

State:
New York
Control #:
NY-07-09
Format:
Word; 
Rich Text
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Overview of this form

The Demand for Itemized Statement - Individual is a legal document used by property owners or contractors to request a detailed account of labor and materials provided by a lien claimant. This form is particularly important as it mandates that the lien holder respond with an itemized statement within five days, helping to clarify any disputes over the lien amount. By utilizing this form, you ensure that you can properly assess the validity of the lien against your property.


What’s included in this form

  • Identification of the property owner or contractor.
  • Details about the lien filed, including the date and amount.
  • A formal demand for an itemized statement from the lien claimant.
  • Specification of the required details in the itemized statement.
  • Signature of the requester and their contact information.

Common use cases

This form should be used when a lien has been placed on your property due to unpaid services or materials. If you receive a notice of lien and need clarification on the amounts claimed, submitting this Demand for Itemized Statement will prompt the lien holder to provide detailed information. This is especially useful in resolving disputes and potentially preventing legal action.

Who this form is for

  • Property owners who have a lien filed against their property.
  • Contractors who are involved in property improvements and need detailed accounts from lien claimants.
  • Any individual seeking clarity on the specifics of a lien amount claimed against their property.

How to prepare this document

  • Identify yourself as the property owner or contractor responsible for the property.
  • Provide details of the property location and a description.
  • Enter the date the lien was filed and the amount claimed.
  • Specify the lien claimant's name and request an itemized statement.
  • Sign the form and include your printed name and address.

Does this form need to be notarized?

Notarization is not commonly needed for this form. However, certain documents or local rules may make it necessary. Our notarization service, powered by Notarize, allows you to finalize it securely online anytime, day or night.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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We protect your documents and personal data by following strict security and privacy standards.

Common mistakes to avoid

  • Failing to include the correct property details.
  • Not specifying the timeline for the lien holder's response.
  • Omitting to sign the form, which can render it invalid.
  • Confusing the amount claimed with the actual payment due.

Why use this form online

  • Convenient to download and fill out at your own pace.
  • Editable format allows for easy customization to fit your situation.
  • Reliable legal wording crafted by licensed attorneys ensures accuracy.
  • No need to visit a lawyer's office, saving you time and effort.

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FAQ

List all products and/or services individually. Each service or item sold should be listed separately. Sales tax. The sales tax should be included and should be based off the total amount of all items added together. Payment type. Make Copies. Finalize and bill customer.

Click the Forms menu; then, select Lists; then, select Itemized Lists. Right-click; then, select Itemized List. Press Ctrl+I.

You have a right to an itemized bill, though, so request one in writing, through a letter or an email to the billing department at the medical facility that sent the invoice. You may also be able to request an itemized bill through your provider's online portal. You should receive the new bill within one to two weeks.

"Ask for an itemized bill for a substantial bill or when it is more than expected," says David Vivero, CEO and co-founder of Amino, a health care financial wellness platform that employers can integrate into their workplace health care benefits. Some providers are making it easy to get these details.

An itemized bill is a piece of paper which you are given before you pay for goods or services, listing the cost of each item purchased rather than just the total cost. You should always request an itemized bill.

An itemized receipt is a receipt that contains the following five pieces of information: Patient's Name: The name of the person who received the service or for whom the item was purchased.Type of Service: A detailed description of the service provided or item purchased. A bag tag is sufficient for prescriptions.

Itemized Statement of Charges: This statement details services provided to the patient. A separate itemized statement is provided by each facility. The Mayo Clinic statement will outline physician services and tests.

An itemized statement is a periodic document issued by a financial institution, such as a bank or brokerage firm, to its customers detailing all account activity for the period. Itemized statements include deposits, credits, debits, fees and all other pertinent activity.

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New York Demand for Itemized Statement - Individual