Lien Resolution Fees

Please submit a signed copy of the Informed Consent & Fee Information Form and fill out the Lien Resolution Fee Agreement below.

Lien Resolution Fee Agreement
I agree to pay Synergy Settlement Services the non-refundable advance fee to take on the initial stages of resolving the following liens. I agree that this non-refundable advance fee is reasonable and equitable based on the initial work associated with intake, verification, evaluation, and mandatory reporting involved in lien resolution. In addition, I agree to pay the remaining balance of the fee for lien resolution upon receipt of an invoice from Synergy Settlement Services. I, individually and on behalf of my law firm, hereby release and agree to hold Synergy Settlement Services, its employees, officers, directors, agents and affiliates harmless from any costs, expenses, penalties, fees, damages and other liabilities resulting from, arising out of, or in connection with any claims, actions, agency actions or other judicial or administrative actions relating to lien resolution if such action is predicated upon inaccurate or incorrect information provided to Synergy in relation to lien resolution functions requested by me or my law firm.
Name*
First Last
Fee Amount*
Signature*
Law Firm Name*
Client Name*
Date*
Date Format: MM slash DD slash YYYY
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Please submit a completed copy of the Informed Consent & Fee Information form below.
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Lien Resolution Fee Agreement