Name: Redemption, LLC
Address: 34 East Main Street, #232 Smithtown, NY, 11787, USA
Price range: $$
Rating: 5

Request a Mechanics Lien

Name Of Your Company*
Phone*
Full Address
Street Address Address Line 2 City State ZIP Code
Email*
Fax
What material Sold or Used Specially
Labor performed (Specifically):
Total Amount you were supposed to be paid. (Include extras and change orders)
Amount to be liened
Exact Address of location to be liened*
Street Address Address Line 2 City State ZIP Code
Date work Began*
Date Format: MM slash DD slash YYYY
Last date you did work*
Date Format: MM slash DD slash YYYY
Name of customer who hired you
Customer’s Address who hired you
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Is this a city / government Job
If so, Provide government contract number
Name of government agency administering government job
Name of Person handling Liens at your Business
I fully consent to initiating this process (Type Full Name)*