LienItNow.com Amendment of Lien

PLEASE FILL OUT THE FOLLOWING FORM AS COMPLETELY AS POSSIBLE. AFTER SUBMITTING THE FORM YOU WILL BE TRANSFERRED TO A PAGE FOR COMPLETION OF YOUR TRANSACTION.

Filing State
YOUR (LIENOR) CONTACT DETAILS
Name of Lienor	*
Street Address of Lienor	*
Suite (if applicable)
City	*
State	*
Zip / Postal	*
Phone Number	*
Fax
E-mail Address	*
Contact Person (IF DIFFERENT FROM ABOVE)

LIEN INFORMATION
If you have a scanned copy of your lien, you may upload it here. If a file is uploaded no further information about the lien is necessary unless specifically requested by LienitNow.com.
***PLEASE NOTE, IF YOU FILED YOUR LIEN WITH LIENITNOW.COM YOU ONLY NEED TO FILL IN FIELDS THAT HAVE CHANGED SINCE YOU INITIALLY FILED***
Work Performed For
Name and address of the entity with whom you have a contract for this project
If known, exact address of jobsite to be liened (include store name, tenant name, floor #, apt #, jobsite block and lot)
If known, name and address of the property owner for whom the project is being performed
County Lien Was Recorded
Date Lien Was Recorded
Book and Page number recorded on lien (if applicable)

LIEN VALUE
AMOUNT OF FILED LIEN	*

AMENDMENT AUTHORIZATION AND SUBMISSION
Name of duly authorized company officer entitled to sign the amendment of lien	*
Position with Company
DO YOU AUTHORIZE LIENITNOW.COM TO ACT AS YOUR AGENT TO FILE THE AMENDMENT OF LIEN?	*	Yes No
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