NOTICE OF LIEN UNDER HAZARDOUS WASTE MANAGEMENT ACT OF 1983
Name of titleholder(s) ______________
Property address ______________
Description of property subject to possible lien sufficient to identify such property ______________
Date, signature, and address of the commissioner or the commissioner's authorized designee ______________
The register of deeds shall note the date and time of filing, and an appropriate registration number, and shall record the notice in the lien book in the office of the register.
T.C.A. § 68-212-209