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CLAIM OF LIEN
Your Job ID Reference:
Your Company's Info:
Your Role:
Role
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Did you send a Notice of Furnishing?
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To protect your lien rights, we highly recommend that a Notice of Furnishing be sent prior to filing of a lien. Would you like us to do so?
Select Yes/No
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When did you mail a copy of the notice to the GC and Owner?
Project Information:
Property Owner's Information:
I don't have this information
General Contractor's Information:
First Date Of Work
Last Date Of Work
Contract Amount (Including All Change Orders)
Amount Paid To Date
Amount Owed
Description of services provided
Labor and/or materials for work performed in connection with the improvements to the real property.
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