PARTIAL RELEASE OF MECHANIC’S LIEN REQUEST FORM

Telephone: 619-460-9020 -  Fax 619-460-9025

*   Indicates Required Fields

            Please check your fax machine for confirmation the morning following the process of your Partial Release of Mechanic’s Lien Request.   If you do not receive a confirmation, please contact MASTER LIENS immediately.

Company Name:    *

Your Name:  *

Company Telephone No.:  *

If MASTER LIENS prepared your original Partial Release of Mechanic’s Lien: 

Identify the Date of Recording:   *

Document Recording Number:   *

County in which the Document was Recorded:   *

Also state the Amount Paid:            $    *

Amount still Owed:                         $    *

If MASTER LIENS prepared your original Partial Release of Mechanic’s Lien, you may submit this form now. 

Yes - Master Liens prepared my original Mechanic’s Lien, and I want to submit this form now!!  

If MASTER LIENS DID NOT prepare your original Mechanic’s Lien then complete the following and submit.

The Date you Recorded your Mechanic’s Lien:        *

The County the Mechanic’s Lien was Recorded in:     *

The County Recorders Document Number:   *

The Amount claimed in the Mechanic’s Lien:  $  *

The Amount you have been Paid:  $  *

The Amount you are still Owed:  $  *

Your Customer Or The Party That You Contracted With:   *

Customer or Party’s Address:   *

City    *

State   *  Zip  *

General Contractor Name:     

General Contractor Address: 

Project Name (If Known)

Address: