ROHILLCO BUSINESS SERVICES, LLC
Construction Lien Claim
Request Form |
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Your
Company Name : |
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Contact : |
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Telephone : |
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Fax : |
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File
A Lien Against (The contractor/person that hired you)? : |
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Job
Site Address : |
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Customer
Telephone : |
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Customer
Contact : |
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Is
this project residential or commercial?
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Did
you supply labor, materials or both?
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When
did you commence supply or service?
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What
was you last day of supply or service?
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What
was the total amount of the contract/job?
Labor :
Material :
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Payments
received?
Principal
balance owing?
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Finance charge
owing?
Through what date?
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Was
a notice of right to lien sent (include copy)?
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Full
name and title of document signer (must be knowledgeable of
circumstances of the debt):
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RoHillCo
Business Solutions, LLC |
5 Mount Jefferson Terrace
Lake Oswego, OR 97035
503-636-0495 Fax 503-636-0848 |
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