Releases

The form below is used to submit Releases to Lien Research. Please do not print this page. Once you click submit at the bottom of this page, your order will be submitted and you will be able to download a copy of the order. To download a PDF of your submitted order, go to the My Documents page and click "Download and Print Order".

Step 1 of 2 - Enter Information

Any service that needs to be performed within 3 business days should be marked as a RUSH order By leaving this box checked while submitting your order, you acknowledge that you will be charged a RUSH fee. Lien Research Corp will not be responsible for orders placed with less than 3 business days to complete following legal requirements. Subscriber assumes full responsibility for RUSH jobs. Please call 800-446-4978 with any questions about this service.
- RUSH ORDER
Any service that needs to be performed within 3 business days should be marked as a RUSH order

By leaving this box checked while submitting your order, you acknowledge that you will be charged a RUSH fee. Lien Research Corp will not be responsible for orders placed with less than 3 business days to complete following legal requirements. Subscriber assumes full responsibility for RUSH jobs. Please call 800-446-4978 with any questions about this service.
- Your Name*
  First Last
- Company*
- Company OLD
- Phone*
- Email*
- This field is hidden when viewing the form
  Type of Order*
- Previous LRC#*
- Invoice# (if any)
- Project Name
- Job Site Address*
  Street Address City State / Province / Region ZIP / Postal Code Country
- Brief Description of Labor/Materials Delivered
- Owner's Name
- Owner's Address
  Street Address City State / Province / Region ZIP / Postal Code Country
- Lender's Name
- Lender's Address
  Street Address City State / Province / Region ZIP / Postal Code Country
- LRC Order#
- Who Hired You?*
- Address*
  Street Address City State / Province / Region ZIP / Postal Code Country
- - Customer is same as General Contractor
- First Date on Job
  MM slash DD slash YYYY
- Last Date on Job
  MM slash DD slash YYYY
- Estimated/Contract Amt
- Payments/Credits to Date
- Principal Amt Owed/Lien Amt
- General Contractor Name*
- General Contractor Name*
- General Contractor Address
  Customer is same as General Contractor
  
  Street Address City State / Province / Region ZIP / Postal Code Country
- General Contractor Address*
  Street Address City State / Province / Region ZIP / Postal Code Country
- Comments
- File Upload
  Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 8 MB.
- This field is hidden when viewing the form
  Form Tracker

Lien Research Corp. Order Form

Your Name:		{Your Name (First):6.3} {Your Name (Last):6.6}
Company:		{Company:50}
Phone:		{Phone:8}
Email:		{Email:9}

L.R.C. Order#:		{LRC Order#:21}
Who Hired You:		{Who Hired You?:37}
Address:		{Address (Street Address):23.1}
City:		{Address (City):23.3}
State:		{Address (State / Province):23.4}
Zip:		{Address (ZIP / Postal Code):23.5}
Customer Same As General Contractor:		{ (Customer is same as General Contractor):24.1}

Type of Order: {Type of Order:10}

Previous LRC# (if any):

{Previous LRC# (if any):12}

Your Inv.# (if any):

{Previous Inv# (if any):13}

Project Name:		{Project Name:14}
Job Site Address:		{Job Site Address (Street Address):15.1}
City:		{Job Site Address (City):15.3}
State:		{Job Site Address (State / Province):15.4}
Zip:		{Job Site Address (ZIP / Postal Code):15.5}

1st Date on Job:		{First Date on Job:25}
Last Date on Job:		{Last Date on Job:26}
Estimated/Contract Amt.:		{Estimated/Contract Amt:27}
Payments/Credits to Date:		{Payments/Credits to Date:28}
Principal Amt Owed/Lien Amt.:		{Principal Amt Owed/Lien Amt:29}

Brief Description of Labor/Materials:		{Labor / Material Delivered:16}
Owner Name:		{Owner\'s Name:35}
Owner Address:		{Owner\'s Address (Street Address):18.1}
City:		{Owner\'s Address (City):18.3}
State:		{Owner\'s Address (State / Province):18.4}
Zip:		{Owner\'s Address (ZIP / Postal Code):18.5}

General Contractor Name:		{General Contractor Name:38}
G.C. Address:		{General Contractor Address (Street Address):31.1}
G.C. City:		{General Contractor Address (City):31.3}
G.C. State:		{General Contractor Address (State / Province):31.4}
G.C. Zip:		{General Contractor Address (ZIP / Postal Code):31.5}

Lender Name:		{Lender\'s Name:36}
Lender Address:		{Lender\'s Address (Street Address):20.1}
Lender City:		{Job Site Address (City):15.3}
Lender State:		{Lender\'s Address (State / Province):20.4}
Lender Zip:		{Lender\'s Address (ZIP / Postal Code):20.5}

Comments:

{Comments:39}

Print Form (Best Results in Mozilla Firefox Browser)

You must select SUBMIT to complete your form submission

Lien Research Corp. Order Form

Your Name:		{Your Name (First):6.3} {Your Name (Last):6.6}
Company:		{Company:50}
Phone:		{Phone:8}
Email:		{Email:9}

L.R.C. Order#:		{LRC Order#:21}
Who Hired You:		{Who Hired You?:37}
Address:		{Address (Street Address):23.1}
City:		{Address (City):23.3}
State:		{Address (State / Province):23.4}
Zip:		{Address (ZIP / Postal Code):23.5}
Customer Same As General Contractor:		{ (Customer is same as General Contractor):24.1}

Type of Order: {Type of Order:10}

Previous LRC# (if any):

{Previous LRC# (if any):12}

Your Inv.# (if any):

{Previous Inv# (if any):13}

Project Name:		{Project Name:14}
Job Site Address:		{Job Site Address (Street Address):15.1}
City:		{Job Site Address (City):15.3}
State:		{Job Site Address (State / Province):15.4}
Zip:		{Job Site Address (ZIP / Postal Code):15.5}

1st Date on Job:		{First Date on Job:25}
Last Date on Job:		{Last Date on Job:26}
Estimated/Contract Amt.:		{Estimated/Contract Amt:27}
Payments/Credits to Date:		{Payments/Credits to Date:28}
Principal Amt Owed/Lien Amt.:		{Principal Amt Owed/Lien Amt:29}

Brief Description of Labor/Materials:		{Labor / Material Delivered:16}
Owner Name:		{Owner\'s Name:35}
Owner Address:		{Owner\'s Address (Street Address):18.1}
City:		{Owner\'s Address (City):18.3}
State:		{Owner\'s Address (State / Province):18.4}
Zip:		{Owner\'s Address (ZIP / Postal Code):18.5}

General Contractor Name:		{General Contractor Name:43}
G.C. Address:		{General Contractor Address (Street Address):41.1}
G.C. City:		{General Contractor Address (City):41.3}
G.C. State:		{General Contractor Address (State / Province):41.4}
G.C. Zip:		{General Contractor Address (ZIP / Postal Code):41.5}

Lender Name:		{Lender\'s Name:36}
Lender Address:		{Lender\'s Address (Street Address):20.1}
Lender City:		{Lender\'s Address (City):20.3}
Lender State:		{Lender\'s Address (State / Province):20.4}
Lender Zip:		{Lender\'s Address (ZIP / Postal Code):20.5}

Comments:

{Comments:39}

Print Form (Best Results in Mozilla Firefox Browser)

Please note that your order will not be submitted until the Submit button is clicked. After clicking the Submit button you will see a confirmation message letting you know your order has been sent successfully.

Releases

Releases

Step 1 of 2 - Enter Information

Lien Research Corp. Order Form

Type of Order: {Type of Order:10}

You must select SUBMIT to complete your form submission

Lien Research Corp. Order Form

Type of Order: {Type of Order:10}

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