Request a Preliminary Notice

Please complete the fields below to help us expedite your notice request. Certain information, such as Tenant, Construction Lender, or Surety are not essential, so please don’t worry if it is not available when you are making the request.

View Our Rates

Client Name:
Contact Name:
Email*
Phone
Your Customer
Name*
First Last
Customer #:
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Project
Contract Name:*
Your Job ID:
Address*
Street Address City State / Province / Region ZIP / Postal Code
Contract #:
Date of first performance*
Date of last performance:*
Type of materials or services:*
Total Anticipated sale or contract amount: $*
Prime / General Contractor
Name:*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Property Owner or Public Agency Name if the project is public
Name:*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Tenant: This is only applicable if the project is a tenant improvement
Name:
Address
Street Address City State / Province / Region ZIP / Postal Code
Phone
Construction Lender:
Name:
Address
Street Address City State / Province / Region ZIP / Postal Code
Phone
Bonding Company for Project if applicable
Name:
Address
Street Address City State / Province / Region ZIP / Postal Code
Phone
General Notes:
CAPTCHA
Comments
This field is for validation purposes and should be left unchanged.

DISCLAIMER: Use of this form indicates review and acceptance of the Lien Perfection Services Agreement. Client expressively waives any right of action or claim against Levy | von Beck | Comstock | P.S., its employees or agents relating to a defective lien, stop notice or bond claim resulting from inaccurate project or owner information derived from sources other than a title policy or Notice of Commencement. Revised November 15, 2012.

Name*
Name
Message*
Email*
Phone
At Levy | von Beck | Comstock | P.S., we are serious about privacy. We will never provide your information to any third party. Privacy Policy.
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Your Customer

Project

Prime / General Contractor

Property Owner or Public Agency Name if the project is public

Tenant: This is only applicable if the project is a tenant improvement

Construction Lender:

Bonding Company for Project if applicable

General Notes:

Useful Links

Contact Us

Quick Contact