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Special Instructions for Lien Claims ONLY
In order to complete your lien claim we need a signed copy of this form for
legal purposes. Please review the disclaimer below and upon submission, you will
be prompted to print a copy. Sign on the line provided. Mail to: 24447 234TH Way
SE #13, Maple Valley WA 98038, OR Fax to 425-413-8259
By submitting this form, I have read the foregoing claim, and
know the contents thereof and believe the same to be true and correct, and the
claim is not frivolous and is made with reasonable cause.
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