We, the undersigned company, hereby authorize Dar-Liens, Inc. to act as Limited Agent in the preparation and service of Arizona Preliminary Twenty-Day Lien Notices and Preliminary Lien Notices in any and all other states. This also authorizes Dar-Liens, Inc. to execute any documents necessary to protect the company's Lien, Bond Claim and Mechanic's Lien Rights, under the laws of the state for which the Preliminary Notice was prepared.

The company understands that Dar-Liens, Inc. will send a detailed invoice on a monthly basis. Payment on invoices for Preliminary Notices are due in our office the last day of the month, thirty (30) days from the invoice date. Bond Claim Notices and Mechanic's Liens and Releases are due within five (5) days of the invoice date.

There will be a two percent (2%) late charge assessed when payment on outstanding invoices are not received in our office by the stipulated time frame (net thirty (30) days on Preliminary Notices or net five (5) days on Bond Claim Notices and Mechanic's Liens and Releases). Any balance that exceeds sixty (60) days will be turned over to collections. The cost of all attorneys' fees or collection costs will be added to your account.

This form is also available as a PDF document to print and mail to our office or to fax to 602.942.0763. Download this form.