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LIEN QUESTIONNAIRE
Save Time and Money
on filing a lien against a non-paying project. Simply answer a few questions online and your documents will be prepared and sent for filing within 5 working days.
Your Information
Your Name or Company Name:
Company Type:
LLC
Corporation
Partnership
Sole Proprietorship
Other..
Company State:
California
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Georgia
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Iowa
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Louisiana
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Missouri
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Nevada
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Oregon
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Texas
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Virginia
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Washington
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Other..
Your Address :
City :
State :
Zip :
Phone :
Fax :
Contact Name :
Email :
Your Role in Project
Your Role on Project:
General Contractor
Subcontractor
Sub-Subcontractor
Supplier
Who Hired You:
Owner
Contractor
Prime Contractor
Company/Person Name Who Hired You:
Address :
City :
State :
Zip :
Project Information
Exact Address where you did the work:
Copy above address if Owner is person who hired you
City :
Zip :
State:
California
Georgia
Iowa
Louisiana
Missouri
Nevada
Oregon
Texas
Virginia
Washington
County where work was Performed:
Do you know the legal property description?:
Yes
No
Property Description
I agree that Express Lien will search for and provide the legal property description based on a search of the property records database available to it through third party providers, and that the accuracy or completeness of these records are not guaranteed.
General
To properly file your lien, please provide us with a description of the work performed and/or materials provided that are currently unpaid. This can be in the form of an invoice, estimate, or list of work performed/materials provided. You can either send the documents to us via fax or you can upload the files by selecting them from your computer below.
We would like to provide ExpressLien with the required description of work performed and/or materials proved by:
Sending the documents via fax to 866-761-8934
Uploading the Documents from my Computer
Upload outstanding invoice or statement of account:
(
Add more files
)
Change Uploaded outstanding invoice or statement of account:
Please send your documents to us via fax at 866-761-8934. We are unable to file your lien until we are provided with this information.
Dollar Amount of Lien / Claim
First Date Performed Labor OR Materials Delivered
Last Date Work Performed OR Materials Delivered
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