Holly Springs, NC · Wake County
Designated Lien Agent
Property owners or applicants submit this form to provide lien agent information for certain building permit projects in Holly Springs.
What this form is
For projects costing $30,000 or more, the form provides lien agent information for the building permit, except for the stated existing single-family residence improvement exemption. It asks for the lien agent’s contact details, the person completing the form, the property address, and the applicant’s signature and date. The form says the information will be kept with the permit and a copy attached to the permit placard.
Who needs it
Applicants for building permits for projects costing $30,000 or more provide this information unless the stated single-family residence improvement exemption applies.
How to submit it
Submit the completed form to the Town of Holly Springs Development Services Department, 128 South Main Street, Holly Springs, NC 27540. The form lists (919) 557-3908.
About notarization
This form is signed and dated without a notary; the document does not identify any notarized attachment or related step.
How to submit this form
- 1
Download The Form
Download the Designated Lien Agent form.
- 2
Complete The Form
Enter the lien agent’s contact information, the name of the person completing the form, and the property address.
- 3
Sign And Date
Provide the applicant’s signature and date.
- 4
Submit To The Town
Submit the form to Development Services at 128 South Main Street, Holly Springs, NC 27540.
Frequently asked questions
- Who completes the Designated Lien Agent form?
- The form requests the name and signature of the person completing it, along with lien agent contact details and the property address.
- When is lien agent information required?
- The form states that lien agent information is required for projects costing $30,000 or more, except for the described improvements to an existing single-family residence used by the owner.
- How do I submit the Designated Lien Agent form?
- Submit it to the Town of Holly Springs Development Services Department at 128 South Main Street, Holly Springs, NC 27540. The form lists (919) 557-3908.
- Do I need a notary for the Designated Lien Agent form?
- No. The form requires the applicant’s signature and date, but has no notary block and does not identify a notarized attachment or related step.
Need something notarized?
This Designated Lien Agent doesn’t need a notary — but if you have another Holly Springs form that does, a commissioned online notary can help.