Sampson County Notice to Lien Agent Form (North Carolina)
All Sampson County specific forms and documents listed below are included in your immediate download package:
Notice to Lien Agent Form

Fill in the blank Notice to Lien Agent form formatted to comply with all North Carolina recording and content requirements.
Included Sampson County compliant document last validated/updated 5/27/2025
Notice to Lien Agent Guide

Line by line guide explaining every blank on the form.
Included Sampson County compliant document last validated/updated 5/27/2025
Completed Example of the Notice of Lien Agent Document

Example of a properly completed form for reference.
Included Sampson County compliant document last validated/updated 4/9/2025
The following North Carolina and Sampson County supplemental forms are included as a courtesy with your order:
When using these Notice to Lien Agent forms, the subject real estate must be physically located in Sampson County. The executed documents should then be recorded in the following office:
Sampson County Register of Deeds
126-A W Elizabeth St, Clinton, North Carolina 28328
Hours: 8:00 to 5:00 M-F
Phone: (910) 592-8026
Local jurisdictions located in Sampson County include:
- Autryville
- Clinton
- Garland
- Godwin
- Harrells
- Ivanhoe
- Newton Grove
- Roseboro
- Salemburg
- Turkey
How long does it take to get my forms?
Forms are available immediately after submitting payment.
How do I get my forms, are they emailed?
Immediately after you submit payment, the Sampson County forms you order will be available for download directly from your account. You can then download the forms to your computer. If you do not already have an account, one will be created for you as part of the order process, and your login details will be provided to you. If you encounter any issues accessing your forms, please reach out to our support team for assistance. Forms are NOT emailed to you.
What does "validated/updated" mean?
This indicates the most recent date when at least one of the following occurred:
- Updated: The document was updated or changed to remain compliant.
- Validated: The document was examined by an attorney or staff, or it was successfully recorded in Sampson County using our eRecording service.
Are these forms guaranteed to be recordable in Sampson County?
Yes. Our form blanks are guaranteed to meet or exceed all formatting requirements set forth by Sampson County including margin requirements, content requirements, font and font size requirements.
Can the Notice to Lien Agent forms be re-used?
Yes. You can re-use the forms for your personal use. For example, if you have more than one property in Sampson County that you need to transfer you would only need to order our forms once for all of your properties in Sampson County.
What are supplemental forms?
Often when a deed is recorded, additional documents are required by North Carolina or Sampson County. These could be tax related, informational, or even as simple as a coversheet. Supplemental forms are provided for free with your order where available.
What type of files are the forms?
All of our Sampson County Notice to Lien Agent forms are PDFs. You will need to have or get Adobe Reader to use our forms. Adobe Reader is free software that most computers already have installed.
Do I need any special software to use these forms?
You will need to have Adobe Reader installed on your computer to use our forms. Adobe Reader is free software that most computers already have installed.
Do I have to enter all of my property information online?
No. The blank forms are downloaded to your computer and you fill them out there, at your convenience.
Can I save the completed form, email it to someone?
Yes, you can save your deed form at any point with your information in it. The forms can also be emailed, blank or complete, as attachments.
Are there any recurring fees involved?
No. Nothing to cancel, no memberships, no recurring fees.
North Carolina Preliminary Notice -- Notice to Lien Agent
North Carolina, like most states, requires a form of preliminary notice to be sent to property owners or other contractors in the chain as an essential step to claiming a mechanic's lien. In North Carolina, the notice takes the form of a "Notice to Lien Agent." A lien agent (usually a title company) must be designated by statute for all non-owner occupied projects exceeding a value of $30,000. N.C.G.S. 44A-11.1. The Notice serves the purpose of providing Lien Agent with notice that the potential lien claimant is or will be providing labor, services or materials to the project property that could be the subject of a later lien claim.
The Notice to Lien Agent must include: 1) the potential lien claimant's name, address, telephone number, fax number (if available), and email address (if available); 2) the name of the party with whom the potential lien claimant contracted; 3) a description of the real property sufficient to identify it; and 4) a statement giving notice of the potential lien claimant's right to subsequently pursue a claim of lien for the improvements to the property. N.C.G.S. 44A-11.2(i).
The Notice to Lien Agent must be filed within 15 days of the potential lien claimant's first furnishing to the project property. N.C.G.S. 44A-11.2(l)(1). Serve the Notice to Lien Agent on the identified lien agent using any of the acceptable means of service in the State, although certified U.S. mail is usually the most convenient option.
This article is provided for informational purposes only and should not be relied upon as a substitute for the advice of a legal professional. Please contact an attorney with questions about sending a Notice to Lien Agent, or any other issues related to liens in North Carolina.
Our Promise
The documents you receive here will meet, or exceed, the Sampson County recording requirements for formatting. If there's an issue caused by our formatting, we'll make it right and refund your payment.
Save Time and Money
Get your Sampson County Notice to Lien Agent form done right the first time with Deeds.com Uniform Conveyancing Blanks. At Deeds.com, we understand that your time and money are valuable resources, and we don't want you to face a penalty fee or rejection imposed by a county recorder for submitting nonstandard documents. We constantly review and update our forms to meet rapidly changing state and county recording requirements for roughly 3,500 counties and local jurisdictions.
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June 23rd, 2025
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November 14th, 2019
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