Construction Lien Services of Montana, Inc
Construction Lien Order Form
ORDER FORM
*Required Information
Notice of Right to File a Lien
Claim of Lien
Type of Service Requested
Check appropriate item
Release of Claim of Lien
Montana Public Works Bond Claim
Basic Information:
General Contractor
Subcontractor
Supplier
Design Professional
*
Company Type
*
Company name
*
Your Address
*
City
*
Phone
*
State
Fax
*
Zip Code
*
E-Mail
*
Contact Name
*
Dollar Amount of Lien/Claim
*
Date Labor Performed/Materials First Provided
*
Last Date Labor Performed/Materials Provided
PROJECT INFORMATION
Project Type
*
Commercial Project
Residential Construction
*
Type of Work Performed
*
Person or Company
that Employed You
*
Address
*
City, State, Zip:
PROPERTY INFORMATION
*
Name of Property Owner
Exact Address Where Work Was Performed:
*
Address
*
City, State, Zip:
*
County
Property Legal Description
If you cannot obtain the property legal description, Construction Lien Services of Montana will research and obtain the legal
property description. There maybe an additional charge for this research. If this research is required Construction Lien Service of
Montana cannot warrant the accuracy or completeness of the legal property description.
After submission of lien information, to pay
please apply payment button below.
PAYMENT
