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Effective, Economical Lien Right Protection 
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Service Order
Note: Fields with a red asterisk (*) MUST be filled out before the form can be submitted.
1. Client Information
Name/dba* Phone* Client #
Select Job ID* Your Job ID*  
2. Service Request (Select One)*
 Preliminary Notice - Private
 Preliminary Notice - Public
 Notice of Intent
 Lien Filing - Private
 Lien Filing - Public
 Lien Satisfaction - Partial (call for details)
 Lien Satisfaction - Full (call for details)
  Bond Notice - Public and Private
 Bond Claim (Copy of Bond required)
 Demand Letter
 Post-Lien Notice Program
 Collection Service
 Legal Attention
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3. Job Information
Job Type*
Site Name
Address*    
City* State* Zip  Verify ZIPCODE - USPS
PIN ID#    
Contract Inception Date* 
Your Job's FULL Value* 
  
Your FIRST Day of Work* 
Amount of CLAIM* 
  
LAST Day of Work* 

Amount of Claim should NOT include interest.
Describe Labor and/or Material YOU Provided*
Liens & Collection: Contractual Interest of % per accruing since (date)
4. Who Hired You?
Hiring Party* Property Owner
Prime Contractor
Subcontractor Tier 1
Subcontractor Tier 2 		Tenant
Agent
Other-define
Name*  
Address*    
City* State* Zip*  Verify ZIPCODE - USPS
5. IMPORTANT INFORMATION

Add your notes freely.

If known, please provide pertinent info including: possible property owner name and address, potential purchasers, subdivison name, lot #, unit #, building permit number, lender, surety, copy of bond, general contractor, etc.
6. Authorization
This Service Order is subject to Service Agreement entered into between the Client and Advantage Lien Protection LLC. It is the intent of the parties that the Service Agreement governs all transactions and is incorporated herein by reference.
Prepared By*  Date 01/05/09
           
ALL fields must be filled in to process your request
  
 
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