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Click ‘Get Form’ to open it in the editor.
Begin by entering your company name, address, and contact information in the designated fields. Ensure accuracy as this is crucial for processing your lien request.
Fill in the jobsite or subdivision name along with its address details. Include the lot number and section to specify the location of the work performed.
Provide the exact name of the company you contracted with, along with their address. This is vital for protecting your lien rights.
Enter the property owner's name and their address. If applicable, include details for the general contractor if they differ from your contracting company.
Indicate whether a notice to contractor has been filed by selecting 'YES' or 'NO'.
Input the last date regular work was performed and ensure that this date falls within the last 90 days.
Finally, sign and date the form at the bottom before submitting it through our platform for processing.
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