The lien shall be available to the real estate broker named or referred to in the agreement or instrument signed by the owner, buyer, or tenant (or their respective agents) and not to an employee or independent contractor employed by or affiliated with the real estate broker.
NOTICE OF COMMERCIAL REAL
ESTATE BROKER LIEN
LAND EVIDENCE RECORDS
XXX
Broker-Claimant,
vs.
XXX,
Owner
Notice is hereby given that the undersigned Broker-Claimant, whose real estate license number is . . . . . . . . . . . . . . . . . . . , and whose business address is . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , makes the following statement and claims a Commercial Real Estate Broker Lien under the law entitled "Commercial Real Estate Broker Lien Act," chapter 34-49 states:
By: . . . . . . . . . . . . . . . . . ..
Its Authorized Agent
STATE OF RHODE ISLAND
COUNTY OF . . . . . . . . . . . . . . . . . ..
. . . . . . . . . . . . . . . . . . . as agent for . . . . . . . . . . . . . . . . . . . , being first duly sworn on his/her oath, deposes and states that he/she has read the foregoing Lien Notice for Commercial Real Estate Broker Lien and knows the contents thereof and that all the Statements therein contained are true and accurate to the knowledge of the undersigned.
Subscribed and sworn to before me this
. . . . . day of . . . . . . . . . . , . . . . ..
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Notary Public
My commission expires:
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R.I. Gen. Laws § 34-49-3