Lien Affidavit

Restricted Action®

Project Name

Legal Representative

Representative Title or Position in the company

Your Email Address

Section 1 - Project Information

Property Address

Property Legal Description

Property Owner

Property Owner's Address

Property Owner Email

Property Verification

It is imperative for construction contractors to have accurate information about a property including its main details.
Details such as the property's legal description and owner's name help contractors verify ownership and file the lien on the correct property.
Having the correct details allow both financial and title companies the ability to search for any existing liens on a property before starting any transactions
Tucker Albin can provide a solution for verifying property details saving you time and providing contractors peace of mind

Section 2 - Property Information

Verification

I don't need to verify

Yes verify the property

I confirm services and/or work performed was done within the last 4 months. (The deadline to file a lien claim is more than 4 months prior to the current month)

General Contractor

General Contractor's Email

General Contractor's Address

Subontractor

Subcontractor

Subcontractor's Email

Subcontractor's Address

Expected File Date

Have you sent an invoice?

Yes

No

Have you sent a Pre-Lien Notice?

Yes

No

Amount Owed

Date when invoice was sent

Date when Pre-Lien Notice was sent

Work Performed that remains unpaid

Your Company Name

Your Company Phone

Your Company Email

Your Company Address