Builders Notice Corporation ~ Construction Lawyer Referral Service
Builders Notice Corp ~ Florida Notice To Owner
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    Home » Form: File a Construction Lien
Builders Notice Corporation ~ Construction Lawyer Referral Service
    Form: File a Construction Lien

Builders Notice Corporation ~ Construction Lawyer Referral Service
Builders Notice Corporation ~ Construction Lawyer Referral Service
Builders Notice Corporation ~ Construction Lawyer Referral Service Builders Notice Corporation ~ Construction Lawyer Referral Service
Builders Notice Corporation ~ Construction Lawyer Referral Service
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Builders Notice Corporation ~ Construction Lawyer Referral Service

 
To file a Construction Lien, please complete and submit the questionnaire below. This will generate your PDF file (depending on your browser, the PDF will either open automatically or will be attached to an immediate email response). Please complete, print and fax the PDF form to us with any attached job descriptions and contract papers.

* We recomend using Internet Explorer 8+ to submit this form.

Lien Setup Information

Please Select An Attorney:   
Date of first furnishing of labor or 
materials to jobsite by undersigned: 
 
Date of last furnishing of labor or 
materials to jobsite by undersigned: 
 
Builders Notice Corp WO#:   

Your Direct Customer Information

Your Customer's Name:   
Address:   
Suite:   
City:   
State:   
Zip:   

Job Site Information

Job Name/Legal Description:   
Specific Job Address:   
Suite:   
City:   
State:   
Zip:   
Describe Materials/Services Furnished:   
Total value of what we furnished: 
(Completed Work Only) 
  Total Value
Balance owing for what we furnished: 
(Directly related to this property only.) 
  Balance Owed

Your Information

WE HEREBY CERTIFY the above described materials were used, or labor and services were performed, in the improvement of the real property name above; that no waiver or release of lien rights have been executed for the sums claimed; that all the above stated information is true and correct; that a proper license is held for the work claimed by the Lienor; and that if I am not dealing directly with the owner, the owner/contractor agreement is for more than $2,500.00. There can be no guaranty that lien request received more than 80 days from last work can be timely recorded. You are responsible for any cost incurred if lien is cancelled. You are authorized to proceed upon receipt of this Request for Claim of Lien Form. We understand the fees and costs for this service is due and payable even if we cancel the recording of the Claim of Lien or if the Claim of Lien is satisfied.

I Accept:   
Your Firm's Name:   
Your Full Name:   
Your Position/Title:   
Address:   
Suite:   
City:   
State:   
Zip:   
Phone:   
Fax:   
Your Contact E-Mail:   

Type the Secutiy Word:    
     


Builders Notice Corporation ~ Construction Lawyer Referral Service Builders Notice Corporation ~ Construction Lawyer Referral Service
Builders Notice Corporation ~ Construction Lawyer Referral Service
Builders Notice Corp 1975-2017
708 S Andrews Ave.
Fort Lauderdale, FL 33316
(954) 764.1322
(800) 432.1959


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Builders Notice Corporation ~ Construction Lawyer Referral Service