Fill and Sign the Nebraska Notice Commencement Form

NOTICE OF COMMENCEMENT - INDIVIDUAL STATE OF NEBRASKA COUNTY OF ___________________ THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with NRS § 52-145, the following information is provided in this Notice of Commencement. 1. Description of real estate being or intended to be improved or directly benefited: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ (legal description of the property, and street address if a vailable ) 2. General description of improvement: ______________________________________________________________________________ _____________________________________________________________________________ . 3. Owner information a. Name and address: ______________________________________________________________________________ _____________________________________________________________________________ . b. Interest in real estate: ___________________________________________ . c. Name and address of fee simple titleholder (if other than contracting owner): ______________________________________________________________________________ _____________________________________________________________________________ . 4. If, after the notice of commencement is recorded, a lien is recorded as to an improvement covered by the notice of commencement, the lien has priority from the time the notice of commencement is recorded. 5. Expiration date of notice of commencement (if an expiration is stated of less than six months from the date of recording, then expiration is six months and the expiration date is 1 year from the date of recording unless a different date is specified) ______________________ . _______________________________________ _____________________________ Notice of Commencement Page 1 of 2 (Signature of Owner or Owner’s Authorized (Signatory’s Title/Office) Officer/Director/Partner/Manager) _____ ___________________________________ Type or Print Name State of Nebraska County of __________________ The foregoing instrument was acknowledged before me this __________________ (date) by ______________________________ (name of person). Signature       Title or Rank Serial Number, if any:             Type or Print Name Certificate of Service I,       , hereby certify that I have delivered this day a true and attested copy of the foregoing to       by: ( ) Actual Delivery to the person to be served. ( ) Mailing a true and correct copy of same by registered or certified U.S. mail, with postage prepaid, or by overnight or second-day delivery with evidence of delivery. ( ) If service cannot be made by the above methods, by posting on the premises. Signature Prepared by and Return to: (name and address)                         Notice of Commencement Page 2 of 2