General Authorization Letter Page 2

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Finally, I confirm that this request does not relate to enforcing lien rights since specific time
frames may apply. I understand that if I wish to enforce specific lien rights that I must contact
your office to discuss how to protect and enforce these rights and that if I do not do so, I may
lose any such rights.
1. The full name and address of the party you are to contact is:
2. If the party to be contacted is a business, the name of the business and its owner or
representative is:
3. The facts, dates and details that relate to this request are:
(Please attach another sheet if more space is needed)
4. I request that you make the following demand on the opposing party and include in this the
principal amount owed as well as any applicable interest.
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