About Your Company

Company Name: (required)
*

Contact Person: (required)
*

Street Address: (required)
*

City: (required)
*

State:
FloridaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming *

Zip-Code: (required)
*

Phone Number

Fax Number:

Email Address:

I Prefer to Receive Copies of My Documents
and Receipts Via:EmailFax

About The Job (The PHYSICAL Location Your Company Worked)
Project Job / Name:

Physical Address: (required)
*

City: (required)
*

State:
FloridaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming *

Zip-Code: (required)
*

County:

Legal Description:

Notice of Commencement Document#:

Permit #:

Folio / Parcel ID#:

Description of Work Performed:
*

Start Date:
*

Any Addional, Job Specific Information
You Wish to Provide:

Who Was Your Direct Contract With?:
*

Mailing Address:

City: (required)

State:
FloridaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip: (required)

Who Was The General Contractor on This Job:

Same as Above:

Individual or Company Name:

Mailing Address:

City:

State:
FloridaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip:


Additional Information:

Please list any additional information related to this job below, including additional parties you would like to NTOs sent:

Service / Preparation Options:

***RUSH SERVICE OVERNIGHT $55***

Payment Information:

Credit Card Type
VisaMaster CardDiscoverAmerican Express

Credit Card Number:
*

Expiration Date:
*

Security Code:
*

How Did You Hear About Us:
GoogleYahooAnother Search EngineEmailFaxMailerFriend / ReferralOfferFacebook

If Referred, Then by Who:

By clicking below and submitting this form, you are hereby requesting EZ NTO LLC to act to as authorized agent on your behalf to prepare and attempt to serve a Notice to Owner based on the information provided above and the information obtained using the information provided above. You agree to waive all claims against EZ NTO LLC, it's officers or employees for damages and/or loss in the connection with preparing and forwarding of Notice to Owner(s) on your behalf. You further assume the risk of all acts associated with the filing, recording and/or service of the requested Notice to Owner, and waive any and all rights and remedies at law or in equity it may have for breach of this agreement with EZ NTO LLC. It is understood that in the event no Notice of Commencement has been filed, the Notice to Owner will be prepared based solely on the information provided by customer. Any liability, which might arise from this request, will be limited to the cost of the Notice to Owner, not to exceed $100.00. EZ NTO LLC is not responsible for wrong addresses, typos, lost/misdirected/delayed mail.

FURTHERMORE YOU RECOGNIZE THAT EZ NTO LLC, AND IT'S OFFICERS AND/OR EMPLOYEES ARE NOT ENGAGED IN RENDERING LEGAL ADVICE OR PROVIDING LEGAL SERVICES. IF YOU HAVE ANY QUESTIONS OR CONCERNS YOU SHOULD SEEK THE SERVICES OF A QUALIFIED LEGAL PROFESSIONAL BEFORE SUBMITTING YOUR REQUEST, BY SUBMITTING YOUR REQUEST YOU ACKNOWLEDGE THAT YOU HAVE HAD THE RIGHT AND OPPORTUNITY TO CONSULT WITH A QUALIFIED LEGAL PROFESSIONAL, AND THAT A FAILURE TO DO SO IS NOT THE RESPONSIBILITY OF EZ NTO LLC.

I have read and agree to the above terms of service (Click to Read) , and the Customer Service Agreement (Click to Read). * Required Fields