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Notice of Intent to File LIEN
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CLAIM OF LIEN
Your Job ID Reference:
Your Company's Info:
Did you send a Notice of Furnishing?
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?
When did you mail a copy of the notice to the GC and Owner?
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
Description of services provided
Labor and/or materials for work performed in connection with the temporary roof repairs and water mitigation to the real property. (added interest fees in the "amount paid to date"
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