Lien Release Form
Homeowner's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address of Property
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
*
Requestor's Name (If different from homeowner)
First Name
Last Name
Requestor's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Requestor's Email
example@example.com
Title Company (If different from requestor)
Title Company Email
example@example.com
Type of Program (If known)
Proposed Closing Date Requested
-
Month
-
Day
Year
Date
Copy of complete lien, recorded documents, and/or title work
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Reason for Request
*
Any additional information which may be pertinent to your request
Please indicate the urgency of your request. The turnaround time for requests is dependent on many factors and is not guaranteed.
*
Urgent: 3-5 business days
Timely: 1-2 weeks
Not urgent: 2-4 weeks
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