Serving all of California

MILLER ACT NOTICE

If you have not yet registered with Masterliens, first open an account,
then complete the information requested and submit the request.

Telephone: 619-460-9020 - Fax 619-460-9025

Miller Act Notice Request Form

Company Name
Your Name
Company Phone No. - (###) - ### ####
Total Contract Value (including change orders) of Labor, Materials and/or Services to be furnished to the Project $ . Dollars Cents
USE NUMBERS ONLY!! $1,000 would be1000 $10,000 would be 10000 Check the number closely for accuracy before moving on.
Outstanding Balance Owed to your Company $ . Dollars Cents
USE NUMBERS ONLY!! $1,000 would be1000 $10,000 would be 10000 Check the number closely for accuracy before moving on.
Your Customer Or The Party That You Contracted With
Customer or Party's Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code
General Contractors Name
General Contractor's Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code
Contract No.
Project Name
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code
Description of Materials, Labor and/or Services provided
Bonding Company Name
Bonding Company Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code
The Payment Bond Number
Check this field if you want rush service (additional charge). Yes - I want rush service
In order to control email spam, please type this code below
(Lower case letters are OK)

Note!!!! Once your Miller Act Notice has been served you have a statutory timeframe in which you must file a lawsuit if you intend to enforce your Miller Act rights.

IMMEDIATELY contact an attorney for advice regarding the enforcement of your Miller Act Notice.

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MASTER LIENS WILL GET THE JOB DONE AT A COST EFFECTIVE RATE

MASTER LIENS

A Construction Document Preparation Company

4215 Spring Street, Suite 215 | La Mesa, California 91941 | Telephone: (619) 460-9020 | Facsimile: (619) 460-9025