FOR SATISFACTION OF MECHANIC'S LIEN - NYLIENS.COM
FILL OUT THIS FORM AND FAX IT TO NYLIENS.COM: 516-334-3000
I hereby authorize NYLIENS LLC to prepare a Satisfaction of Mechanic's Lien for a Lien that is filed against:
Owner/Contractor Liened: _____________________________________
and hereby authorize NYLIENS LLC and/or its affiliates to charge the sum of $250.00 (or $350.00 for Nassau County) my credit card listed below. There will be a 3% convenience fee for payments made by credit card.
PAYMENT BY CREDIT CARD
CARD TYPE (check one): [ ] VISA, [ ] MASTER CARD, [ ] AMERICAN EXPRESS
CARD NUMBER _____________________________________________
EXPIRATION DATE (month/year): ________
CREDIT CARD VERIFICATION NUMBER: ________
(for Visa and Mastercard - this is a 3 digit number located on the reverse side of your card, for American Express - this is a 4 digit number located on the front side of your card)
NAME ON CARD: _____________________________________________
BILLING ADDRESS: ______________________________________________
CITY: ___________________________ STATE: ______ ZIP CODE: _____________
I HEREBY AUTHORIZE NYLIENS LLC OR ITS AFFILIATES TO CHARGE THE ABOVE CREDIT CARD.
[SIGN HERE]______________________________________________ DATE: ________
Disclaimer: We are not offering legal advice. We strongly advise you to seek the consultation of an attorney if you have any legal questions regarding the New York Lien Law. We attempt to provide you accurate information with regard to the Lien Law on this website, but we do not represent the accuracy of any law, statutes or rules set forth on this website.
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