Request for Release of Mechanic`s Lien
Please fill out as much information as you have in the form below. If claim was not filed by Arizona National Lien and Bond Co., please fax a copy of the original lien to (480) 452-0351.
* Please release the following Mechanics Lien *
Rush (Fee $20.00)
To be processed within 48 hours of receipt
Yes /
No
Today's Date
Your Customer
(Required)
Job Number
(Required)
Job Name
(Required)
Job Address
Job City, State
,
Job County
Amount of Lien
to be released
(Required)
Lien Filed Against
Owner/Reputed Owners
Your Company Name
(Required)
Your Name
(Required)
Your Title
(Required)
Your Email Address
(Required)
Reason for Release
Comments
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/
Company
/
Services
/
F.A.Q.
/
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/
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