Notice Of Lien — Content — Delivery

TITLE 45 LIENS, MORTGAGES AND PLEDGES CHAPTER 19 STATE LIENS 45-1904. Notice of lien — Content — Delivery. (1) The notice of lien shall include: (a)  The name and last known address of the debtor; (b)  The name and address of the filing agency; (c)  The basis for the lien, including, but not limited to, income tax, sales tax, employment security contributions, payments in lieu of contributions, overpayment of benefits, wage claims, a child support delinquency or medical assistance; (d)  Such other information as may be required by the relevant provisions under which the lien was created and attached, or as may be agreed by the filing agency and the secretary of state. (2)  The notice of lien will be delivered to and receipt will be acknowledged by the secretary of state in a medium and format to which the filing agency and the secretary of state have agreed. (3)  Each notice of lien shall be authenticated by the filing agency in a manner to which the filing agency and the secretary of state have agreed. (4)  A notice of lien is filed when it complies with subsection (1) of this section and has been delivered to and receipt acknowledged by the secretary of state.