Virginia Sub Subcontractor Memorandum For Mechanics Lien

Information you will need

• ResetButton
• Circuit Court
• Circuit Court Address
• Circuit Court Phone Number
• Parcel ID/Tax Map Number
• Owner Name
• Owner Address
• Claimant Name
• Claimant Address
• Claimant License Number
• License/Certificate Date of Issuance
• License/Certificate Date of Expiration
• Materials/Services Furnished
• Claim Amount
• Future Claim Amount
• Type of Structure
• Property Location/Description
• Date of Interest
• General Contractor/Subcontractor Name
• Claimant Signing Date
• Claim Amount (Written)
• Claim Amount (Numerical)
• Interest Period (Day)
• Interest Period (Month)

…and 7 more fields in the PDF.

Completed by the contractor.

The form includes 1 signature line.

The document text refers to the laws of Virginia.