Mechanics Lien Intake Form

If you are a subcontractor or material supplier on this project, provide:

Section II.

Work Performed

Property Owner Information

(if different than above)

Section III.

Required Supporting Documents

The following documents are required to complete our review and prepare the Mechanics’ Lien Statement; (i) Copy of the complete signed contract and all attachments; (ii) Copy of all signed and unsigned Change Orders; (iii) Copy of all invoices submitted to the customer; (iv) Copy of all payments received from customer; (v) Statement showing Invoices sent minus payments received and balance remaining (the balance remaining should match the amount claimed above); (vi) documentation proving first day of contribution (time card, delivery ticket, etc.); (vii) documentation proving last day of work (time card, subcontractor invoice, etc.).

Section IV.

Acknowledgements

MNCLS cannot guaranty that the Mechanics’ Lien Statement will be filed on time if this intake form and the required supporting documents are received more than 110 days after your last day of work.

By Typing Your Name Below, You Accept Responsibility for the Information Provided as Being Complete and Accurate. On Behalf of the Lien Claimant, I Authorize Minnesota Construction Law Services Pllc to Prepare, Serve, and Record a Lien Statement in Accordance With the Foregoing for a Fee, Plus Any Filing Fees, Out of Pocket Expenses, and Cost of Service on Necessary Parties. Mncls Will Rely on the Accuracy of the Information You Provide on Your Lien Statement. Any Incorrect or Incomplete Information You Provide May Result in the Loss of Your Lien Rights and an Inability to Collect Your Money. If You Have Questions or Concerns About the Accuracy of the Information You Are Providing, Call or Email Mncls Before Sending the Intake Form.