RELEASE OF MECHANIC’S LIEN 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 Release of Mechanic’s Lien Request.   If you do not receive a confirmation, please contact MASTER LIENS immediately.

Company Name:    *

Your Name:  *

Company Telephone No.:  *

If MASTER LIENS prepared your original Release of Mechanic’s Lien: 

Identify the Date of Recording:   *

Recording Number:   *

County in which the Document was Recorded:   *

All other boxes, please check NA and submit.

If MASTER LIENS DID NOT prepare your original Mechanic’s Lien then complete the following and submit.

The Date you Recorded your Mechanic’s Lien:        *

The County the Mechanic’s Lien was Recorded in:     *

The County Recorders Document Number:   *

The Amount claimed in the Mechanic’s Lien:  $  *

Your Customer Or The Party That You Contracted With

Your Customer Or The Party That You Contracted With:   *

Customer or Party’s Address:   *

City    *

State  *   Zip  *

General Contractors Name:      *

General Contractors Address: 

Owners Name:       *

Owner Address: 

Project Name (If Known) *

Address: