PUBLIC WORKS STOP NOTICE 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 Stop Notice Request.  If you do not receive a confirmation, please contact MASTER LIENS immediately.

Company Name:   *

Your Name: *

Company Telephone No.:  *

Total Contract Value  (including change orders) of Labor, Materials and/or Services to be furnished to the Project:      
$   *

Total Amount Invoiced to Date:  $    *

Amount Paid To Your Company:    *

Outstanding Balance Owed your Company:    *

The Legal Rate For Stop Notices is 10%
You may be entitled to collect your contract interest rate from the customer or party with whom you contracted with.

When did Interest begin?: *

Your Customer Or The Party That You Contracted:  *

Customer or Party’s Address:   *

City   *

State *   Zip *

General Contractor(s) Name:     

General Contractor(s) Address: 

Owners Name:      

Owner Address:    

Project Name (If Known):

Address:  

PROJECT LENDER INFORMATION (IF KNOWN)

Lender Name:   

Lender Address: