Fill and Sign the Amendment of Recorded Lien Corporation Form

Amendment of Recorded Lien Page 1 of 2 AMENDMENT OF RECORDED LIEN- CORPORATION (NRS § 52-148) STATE OF NEBRASKACOUNTY OF ___________________Before me, the undersigned notary public, personally appeared ________________________________, who was duly sworn and says that she or he is ________________________________ (a representative or agent of the corporate lienor herein), ________________________________ (title) of ________________________________ (the corporate lienor herein), whose address is _____________________________________________________________________, and that the lienor filed a notice of lien which was recorded in Official Record Book __________, Page __________, of the Public Records of _________________ County, Nebraska on the _____ day of _________________ , 20 _____, for labor, services, or materials the lienor furnished for the improvement of the following described real property in __________________________________ County, Nebraska:______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ (insert legal description). The above mentioned lien is hereby amended in the following respect:______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________(insert amendment information such as additional real estate or increase in amount of lien). Such amendment is made within 120 days after the undersigned’s final furnishing of services or materials, unless the undersigned is amending his or her lien to reduce the amount of the lien, reduce the real estate against which the lien is claimed, or make an apportionment of the lien among lots of a platted subdivision of record. If the amendment adds real estate or increases the amount of the lien claimed, it will be effective as to the additional real estate or increased amount only from the time the amendment is recorded. ______________________________ Signature of Lienor/Agent Amendment of Recorded Lien Page 2 of 2 Printed Name of Lienor/Agent ______________________________ Title______________________________Name of Corporation Address Attest: Secretary State of NebraskaCounty of __________________The foregoing instrument was acknowledged before me this __________________ (date) by ______________________________ (name of officer or agent, title of officer or agent) of ________________________ (name of corporation acknowledging) a ________________________ (state or place of incorporation), on behalf of the corporation.Signature Title or RankSerial Number, if any: Type or Print NamePrepared by and Return to: (name and address)