Fill and Sign the Nebraska Notice Commencement 497318114 Form

NOTICE OF COMMENCEMENT BY ONE OTHER THAN OWNER - INDIVIDUAL STATE OF NEBRASKA COUNTY OF ___________________ THE UNDERSIGNED _________________________________ (claimant) whose address is _____________________________________________________________________________ , hereby gives notice that improvement will be made to certain real property, and in accordance with NRS § 52-145(5), 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 all or any part of the contracting owner's real estate being improved or directly benefited, and street address if a vailable) 2. The contracting owner’s n ame and address is ______________________________________________________________________________ _____________________________________________________________________________ . 3. The name and address of the undersigned claimant recording this notice is: _____________________________________________________________________________ . 4. The name and address of the person with whom the claimant contracted is: _____________________________________________________________________________ . 5. The services or materials provided, or to be provided, by the claimant for the improvement include: ______________________________________________________________________________ _____________________________________________________________________________ 6. 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. Notice of Commencement by One Other Than Owner Page 1 of 3 7. The expiration date of this notice of commencement is one (1) year from the date of recording. _______________________________________ _____________________________ (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. Notice of Commencement by One Other Than Owner Page 2 of 3 ( ) 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 by One Other Than Owner Page 3 of 3