LIEN NOTICE

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LIEN UTAH LLC

P.O. Box 171053
Salt Lake City, Utah 84117
801-272-0912 (o)
801-273-1061 (f)
order@lienutah.com

Autofill

CONSTRUCTION ORDER FORM 2 - LIEN NOTICE

(Used To Record a Notice of Lien against Utah Property by those Furnishing Materials, Labor, or Equipment to Improve the Property)

IDENTIFY THE ENTITY REQUESTING LIEN (I.E. YOU OR YOUR ASSOCIATION):

COMPLY WITH THE PRELIMINARY NOTICE REQUIREMENT:

Did you file a timely Preliminary Notice (i.e. a Pre-Lien) on the Utah State Construction Registry?

(This is mandatory. If you did not file a preliminary notice, we cannot file your Lien Notice)

Yes

IDENTIFY THE PERSON(S) WHO HOLDS AN INTEREST IN THE PROPERTY (i.e. owner, landlord, tenant, etc...) THAT CONTRACTED WITH THE GENERAL CONTRACTOR, OR OTHER ORIGINAL CONTRACTOR, TO HAVE THE WORK DONE:

IDENTIFY THE PROPERTY AGAINST WHICH THE LIEN IS TO BE FILED:

IDENTIFY YOUR CUSTOMER (THE PERSON OR COMPANY YOU CONTRACTED WITH):

DESCRIBE THE SERVICES YOU FURNISHED:

SPECIAL INSTRUCTIONS

TERMS: The entity claiming a lien and requesting preparation of this lien notice (“Customer”) hereby appoints Lien Utah LLC as its agent for the limited purpose of preparing, recording, and serving the lien notice against the property identified above for the amount stated above and covenants to indemnify, defend (with counsel chose by Lien Utah, LLC), and hold harmless Lien Utah, LLC, and its agents, successor and assigns, against any and all claims brought against Lien Utah LLC arise from the lien. Customer understands and agrees that Customer’s sole and exclusive remedy against Lien Utah LLC for any damages, including direct, indirect, or consequential damages, arising from the preliminary notice or the performance of the services requested herein is limited to a refund of the amount paid to Lien Utah LLC for the services requested by Customer in this order form. Customer warrants that the information provided herein is true and accurate. If Lien Utah LLC is asked to provide trial or deposition testimony, sworn declarations, or other evidence, it will be paid $75 per hour for the time incurred. The undersigned warrants that he/she is duly authorized to order this notice on behalf of Customer and does so with its authorization. Customer agrees to promptly pay for the requested services upon receipt of an invoice. If payment is not made within 21 days of the invoice date, Customer will pay interest at the rate of 2% per month from the invoice date on all amounts owed. Customer will pay Lien Utah LLC’s attorneys’ fees and costs incurred in enforcing these terms.    Prices assume one property owned by persons residing at one address.  An additional $10 will be charged for each additional property included in the same notice and for each additional owner address to which the notice is served.  Prices assume Customer will provide complete and accurate information.  If not, an additional charge will be assessed commensurate with the above charges for additional properties/owners and for any additional time needed to obtain the missing information.

Signature (a typed signature functions as a written signature).

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