Pre-Construction Lien Request

  • Project Information

    The following is name and location of the Construction Project as referenced in this Notice of Contract:
  • Job Site Name / Project Identification
  • First line of the address for this project. This is usually the street address.
  • Second line of the address for this project. This is usually the Suite, Building, or Floor Number when working in a multistory building.
  • Third line of the address for this project. This is usually the reference to the Complex. i.e.: Plaza, Center, Mall. However, this line should be used for the name of a person, if a select individual will be receiving this notice.
  • The City / Town where the project is located
  • The State where the project is located
  • The ZIP or Postal Code for this project
  • A Number or ID you use to identify this project/contract
  • The date you are scheduled to commence work on this project
  • The date you expect to complete all work on this project
  • An estimate of the dollar value of the contract between the Owner and the General Contractor for the work to be performed
  • The agreed schedule and terms of payments for this contract
  • General Contractor

    The following is name and location of the Contractor entering into this Notice of Contract
  • The Name of the General Contractor for this project
  • First line of the address for the General Contractor. This is usually the street address.
  • Second line of the address for the General Contractor. This is usually the Suite, Building, or Floor Number if located in a multistory building
  • Third line of the address for the General Contractor. This is usually the reference to the Complex. i.e.: Plaza, Center, Mall. However, this line should be used for a persons name, if a select individual will be receiving this notice.
  • The City / Town of the General Contractor
  • The State of the General Contractor
  • The ZIP or Postal Code for the General Contractor
  • General Contract Contact: First Name
  • Lender/Bonding Co: Contact Last Name
  • To receive a copy of the served notice, please include your email address.
  • Main or Mobile Phone Number for the General Contractor
  • Property Owner

    The following is name and location of the Property Owner entering into this Notice of Contract
  • The Name of the Property Owner for this project
  • First line of the address for the Property Owner. This is usually the street address.
  • Second line of the address for the Property Owner. This is usually the Suite, Building, or Floor Number if located in a multistory building
  • Third line of the address for the Property Owner. This is usually the reference to the Complex. i.e.: Plaza, Center, Mall. However, this line should be used for a persons name, if a select individual will be receiving this notice.
  • Property Owner: City
  • The State of the Property Owner
  • The ZIP or Postal Code for the Property Owner
  • Property Owner Contact: First Name
  • Property Owner Contact: Last Name
  • To receive a copy of the served notice, please include your email address.
  • Property Owner: Main Phone
  • This field is for validation purposes and should be left unchanged.