PRIVATE WORKS STOP NOTICE REQUEST FORM

Telephone: 619-460-9020 -  Fax 619-460-9025

*   Indicates Required Fields

Please check your fax machine for confirmation the morning following the process of your Stop Notice Request.  If you do not receive a confirmation, please contact MASTER LIENS immediately.

Company Name:   *

Your Name: *

Company Telephone No.:  *

Total Contract Value  (including change orders) of Labor, Materials and/or Services furnished by you to the Project:      
$   * 

Total Amount Invoiced to Date:  $    *

Amount Paid To Your Company:    *

Outstanding Balance Owed your Company:    *

The Legal Rate For Stop Notices Liens is 10%
You may be entitled to collect your contract interest rate from the customer or party with whom you contracted with.

When did Interest begin?: *

Your Customer Or The Party That You Contracted: 

Customer or Party’s Address:  

City  

State    Zip

General Contractor(s) Name:     

General Contractor(s) Address: 

Owners Name:      

Owner Address: 

Project Name (If Known):

Address:  

PROJECT LENDER INFORMATION (IF KNOWN)

Lender Name:     

Lender Address: