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Request for Mechanics Lien - California

CAPRENOS INC 4345 Murphy Canyon Rd Suite 200 San Diego, CA 92123 (800) 854-2100 Fax (858) 560-7626 Request for Mechanics Lien - California Please complete this form, then fax the signed copy to Caprenos at (858) 560-7626. Job Address The exact dollar amount that is due on this job is $_____ I furnished (Type of Materials or Service) At the Request of: (Your Customers Name or Company) Street Address City State Zip Please check one of the following: [ ] Do not include any interest on this lien form. [ ] My contract provides that I may charge interest at the rate of _____ % per annum from the date the balance becomes due.

CAPRENOS INC • 4345 Murphy Canyon Rd Suite 200 • San Diego, CA 92123 • (800) 854-2100 • Fax (858) 560-7626 Request for Mechanics Lien - California

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