Kitty Hawk, NC · Dare County

No notary required

Lien Agent Information

This form records lien agent contact details for an applicant submitting a building permit application to Kitty Hawk.

What this form is

Kitty Hawk uses this form to record the designated lien agent’s name, mailing and physical addresses, telephone number, fax number, and email address with a building permit record. The document says lien agent information is required for certain building permits and may be provided on a copy printed from the LiensNC website instead. The applicant must post a copy at the construction site.

Who needs it

Applicants submitting a building permit application may use this form to provide lien agent details for the permit record.

How to submit it

Include the completed form with the building permit application submittal. A copy printed from the LiensNC website may be included instead; the applicant is also required to post a copy at the construction site.

About notarization

This document is completed without a notary; it identifies no notarized attachment or sworn step, so the applicant completes the information fields.

How to submit this form

  1. 1

    Download The Form

    Download the Lien Agent Information PDF.

  2. 2

    Complete The Information

    Enter the lien agent’s name, addresses, telephone number, fax number, and email address.

  3. 3

    Gather The Permit Materials

    Alternatively, include a copy of the document printed from the LiensNC website with the building permit application.

  4. 4

    Submit And Post A Copy

    Include the form with the building permit application submittal and post a copy at the construction site.

Frequently asked questions

What information does the Lien Agent Information form request?
It requests the lien agent’s name, mailing and physical addresses, telephone number, fax number, and email address. The form also includes fields for permit number, permit holder, and date for office use.
Do I need a notary for the Lien Agent Information form?
No. The document has no notary block and identifies no notarized attachment or sworn step; the applicant completes the information fields.
How do I submit the Lien Agent Information form?
Include it with the building permit application submittal. The document says a copy printed from the LiensNC website may be included instead, and the applicant must post a copy at the construction site.

Need something notarized?

This Lien Agent Information doesn’t need a notary — but if you have another Kitty Hawk form that does, a commissioned online notary can help.