Preliminary Lien Notice Form

Please enter all of the information you know, we do the rest!

Customer agrees that the liability of Dar-Liens, Inc., its agents and employees, in connection with services hereunder to the Customer and to all persons having contractual relationships with them, resulting from any acts, errors and/ or omissions, whether negligent or otherwise, of Dar-Liens, Inc., its agents and/or employees is limited to the total fees actually paid by the Customer to Dar-Liens, Inc., for those services.

Company Information

Project Information

Project Property Owner

Customer Contracting for Purchase of Labor / Materials, etc… (Your Customer)

Products / Services to be Provided to Project

General Contractor


Bonding / Surety Company

Additional Comments / Processing Options

We have read this complete Authorization and Contract and agree to all the stipulations contained therein, and agree to pay all legal fees should there be any breach of contract, or if I/we supply any forms and or data for use by anyone else not under contract with Dar-Liens, Inc.


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