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It collects whether work is completed and the last site attendance or last supply date, plus amounts owed, contract value, change totals, payments received, and the outstanding balance. It also authorizes LIEN-PRO® by Priority Credit Management Corp. 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Trade Name (if applicable) What is your address?  \nContact Details:  \nby Priority Credit Management Corp.  \nName:    \nTrade Name:    \nAddress:    \nProv./ P.C.  \nCity:   State:   /Zip:   \nName:    \nPhone Email  \nNumber:   Address:    \n______________________________________________________________________________________  \nWhat property did you do work on and/or supply materials to?  \nAddress:    \nProv./ P.C.  \nCity:   State:   /Zip:   \nIf Known:  \nLegal Description/PID/PIN:    \nProject Name:    \nWhat work and/or materials  \nhave/will you be providing?  \nWho hired you/who are you working for?  \nCompany Name:    \nTrade Name (if applicable):    \nWhat is their address? Address:    \nProv./ P.C./  \nCity:   State:   Zip:    \nIs the work completed?    \nIf the work is completed, what is the date you were last on site working or date of last supply of materials? Last day on site/date of last supply (Month, Day, Year):    \nHow much are you owed ($) for services and/or materials supplied to date?  \nThe amount of the original contract is: $    \nThe total amount of all changes and additions is: $   \nThe total amount of all payments received to date is: $   \nThe amount due and owing to the undersigned is: $    \nI authorize LIEN-PRO® by Priority Credit Management Corp. (\"PCM\") to act as agent for you and you have informed PCM of the facts stated in the claim for lien and the facts are true.  \nPriority Credit Management Corp.  \nIt’s Time to Get Paid®  \nPhone: 1-866-266-0117 Fax: 1-866-266-0137 Email: [info@pcmcorp.com](info@pcmcorp.com)  \nService Agreement  \nIN CONSIDERATION OF the mutual benefits and obligations set forth in this Agreement, including good and valuable consideration, the receipt and sufficiency of which consideration is hereby acknowledged, the Client, as defined in this Agreement, and Priority Credit Management Corp. (“PCM”) individually a \"Party\" and collectively the \"Parties\" to this Agreement agree as follows:  \n1. SCOPE OF SERVICE AND COST  \n1.1. Priority Credit Management Corp. (“PCM”) may perform the services, enumerated in the attached Schedules “A”,“B” and/or “C” to this Agreement upon the request of the Client (the “Services”) . The attached Schedules are:  \n(a) Schedule A – Collection Services;  \n(b) Schedule B – Builders’ Lien Services;  \n(c) Schedule C – Credit Consulting and Credit Control Services; and  \n(d) Schedule D – Builders’ Lien Services Pricing.  \n1.2. The Client acknowledges and agrees that the Services shall be performed only upon the terms and conditions contained in this Agreement, specifically including, but not limited to, any right to terminate the Services.  \n1.3. The Client acknowledges and agrees that the Client shall pay to PCM the sum or sums defined in the attached Schedules as the fee (the “Fee”) corresponding to the Services the Client requests and which PCM agrees to provide. If no Fee is specifically identified, then the Client shall be Billed Hourly.  \n1.4. Where indicated in this Agreement, or any schedule to this Agreement, if a fee is to be calculated based upon the amount of time spent by PCM, the fee will be calculated at the Hourly Rate defined in Schedule“C”, billed in 15-minute increments. (“Billed Hourly”) .  \n1.5. All disbursements incurred in providing any services, and specifically including the Services, shall be the responsibility of the Client and shall be in addition to the Fee and be subject to the same payment conditions as the Fee.  \n1.6. Unless this Agreement stipulates otherwise, PCM shall be entitled to retain the Fee, or any portion of the Fee, if after the Fee has been paid, the Client cancels, withdrawals or indicates in any way an unwillingness to abide by this Agreement. If the Client cancels, withdraws or terminates the Agreement, the Client will be entitled to, and only to, a refund of any sum collected for expected disbursements that had not yet been incurred.  \n1.7. In the event that the C","cbCaieJt6O7NR9uz","https://ap.wps.com/l/cbCaieJt6O7NR9uz","pdf",1414749,10,"English","# Request Information\n## Claimant and Contact Details\n## Property and Project Details\n## Services, Completion Status, and Dates\n## Amounts Owed and Contract Figures\n# Authorization and Agreement Terms\n## LIEN-PRO® Authorization\n## Scope of Service and Cost\n## Waiver, Release and Indemnity","[{\"question\":\"What information is required about the claimant and contact details?\",\"answer\":\"The form requests the company name (trade name if applicable), full address, provincial/state/zip details, and contact information such as name, phone, and email.\"},{\"question\":\"What property and project details must be provided?\",\"answer\":\"It requires the property address, provincial/state/zip details, and if known the legal description (PID/PIN) and project name.\"},{\"question\":\"How are amounts owed and completion timing handled?\",\"answer\":\"The form collects whether the work is completed, the last day on site or last supply date, the amount owed for services/materials to date, original contract amount, changes/additions totals, payments received, and the resulting amount due and owing.\"}]","Demand-Notice of Intent to Lien-Request | PDF",1789562474]