Virginia Subcontractor Memorandum For Mechanics Lien

Information you will need

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

…and 5 more fields in the PDF.

Completed by the contractor.

The form includes 1 signature line.

The document text refers to the laws of Virginia.