REQUEST FOR A MECHANICS LIEN (please tab, don't hit enter or your form will be submitted)
*
 Legal name of your company
*
 Lienor's address
*
 City
 *
 State
 *
 Zip
*
 Phone #
 Fax #
Your reference or po#
*
 Material sold
*
 Labor performed
*
 Original contract amount
 *
 First date at job location
*
 Change orders
 *
 Last date at job location
*
 Payments
 Owners contract number
*
 Amount owed/to be liened
 Date of contract (NJ only)
*
 Exact address of job site
(to be liened)
*
 City
 *
 State
 *
 Zip
Section (if applicable)
 Block:
 Lot:
If you do not know the lot and block # of the property to be liened, we can search it for you, but cannot guarantee the search results.    
                                                                                            
*
 Contractor/Customer name
(this is the party that contracted you)
*
 Address
*
 City
 *
 State
 *
 Zip
*
 Is your customer the owner, g.c. or subcontractor (choose one)
If your customer is not the owner or g.c., list all other parties contracted between you
and the owner for proper service in the section listed Additional Parties.     
Additional party #1:
Address, city, state, zip
Additional party #2:
Address, city, state, zip
Name of property owner (if not listed above):
Full Address of property owner
If you do not know the name of the property owner, we can search it for you, but cannot guarantee the search results.
Helpful comments
*
 *
 Name as it appears on the card
Type of
Credit Card
*
 Expiration date
*
 Card number
*
 CVV code (3 digit number on signature panel on back of card)
I have authorized Manna & Associates LLC and its representatives to file a lien on the above listed job site.
I am authorized to order to this service on behalf of the above named company.  We, as the lienor(s), indemnifies
Manna & Associates LLC and its representatives against any ramifications that may arise from the filing of this lien.  
Manna & Associates LLC will only be held liable for the cost of the Mechanic's lien as billed by Manna & Associates
LLC.   In addition, the lienor agrees to be held responsible for all legal costs should Manna & Associates LLC incur any
as a result of a lawsuit regarding the filing of this lien.                                                                                                  
*
 Name of authorizing individual
*
 Title of authorizing individual
Where did you hear about us?  
Your email Address:   
Check here if you would like Manna & Associates, LLC. to also perform collection on this case
as per the collection rates on the rates page
I understand that by submitting false information or leaving out any required fields, my lien may
be filed incorrectly.  By clicking submit, I authorize Manna & Associates, LLC to file this lien on my
behalf.  I agree to pay the amount listed on the rates page for this service.   
LiensAndCollections.com
Lien on us, we'll help you recover
A mechanic's lien is a type of statutory lien which can be filed by a
contractor, subcontractor, laborer, or supplier who worked or furnished
material for building construction or improvement and has not been paid.  
In some states the lien can be and must be renewed after a period of
time.  
A mechanic's lien is filed to notify the owner of a property, a mortgage
holder, a lending institution, and prospective buyers that there is a claim
against the property.  
Please fill out the below form to have your Mechanic's Lien filed by us.
Call 201-991-7111 if you have any questions while completing this form.
Liens
Our goal is to
maximize
your cash
flow and
protect your
receivables
while every
effort is made
to repair and
restore your
relationship
with the
debtor.
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Contact us at:  201-991-7111
Manna & Associates LLC
po box 1117 kearny, nj 07032
phone 201-991-7111  
fax 201-991-7116
www.liensandcollections.com
mannacorporation@aol.com