Products tagged with 'illinois lien form'

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Illinois Doctor's Lien and Patient Consent Form

The patient gives his/her consent for the treatment and authorizes the medical practitioner to release any information required to conduct the patient's injury claim.
Regardless of the outcome of the claim, the patient will be personally liable for paying the medical bills.
The doctor has an irrevocable lien on any settlement or damages awarded to the patient. The patient's lawyer is instructed to satisfy the lien out of the settlement proceeds.
The patient must give notice if he/she hires a different attorney.
Intended for use only in the State of Illinois.

$12.49

The law requires you to make the Sworn Statement to protect the lien rights of all the subtrades and suppliers that have provided labor, materials or services with respect to the improvements.
The form includes a schedule setting out the contract amounts, amounts paid to each contractor to date, and the balance due to each (if any).
This form is a downloadable MS Word document.
Intended for use only in the State of Illinois.

$6.50

The Final Lien Waiver authorizes a release of any lien rights or claims for payment which the contractor may have against the owner's property, and indicates that final payment has been made in full.
A Contractor Affidavit form and a Notice of Completion form are included.
This release form should ONLY BE USED when the contractor has received final payment (except for any disputed amounts).
This template is provided in MS Word format and is fully editable and reusable.
For use only in the State of Illinois.

$6.50

The Partial Waiver of Lien form contains two alternate provisions, depending on the circumstances for which you are providing the waiver:
- Waiver to date - releases the lienholder's lien rights up to the release date stated;
- Waiver of limited amount - releases the lienholder's lien rights up to the amount of a payment specifically stated as having been received.
A Contractor Affidavit is included.
The form is provided in MS Word format and is fully editable and reusable.
For use only in the State of Illinois.

$6.50

The original (prime) contractor claims a lien for the outstanding balance owing under a contract with a property owner for improvements to the subject property.
The form includes the required affidavit.
Pay for the form once, download it and it's yours to use as often as you require.
This form is available in MS Word format and is fully editable.
Intended for use only in the State of Illinois.

$7.50

With this form, a subcontractor on a construction or renovation project claims a lien for goods, labor and/or services provided for the benefit of the property identified in the lien claim.
The form includes a copy of relevant sections of the Mechanics Lien Act dealing with filing and serving lien claims.
Pay for the form once, download it and it's yours to use as often as you require.
Available in MS Word format.
Intended to be used only in the State of Illinois.

$11.99