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Fill and Sign the Request for Information from Prime Contractor Individual Nebraska

Fill and Sign the Request for Information from Prime Contractor Individual Nebraska

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Open the document and fill out all its fields.
Apply your legally-binding eSignature.
Save and invite other recipients to sign it.

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REQUEST FOR INFORMATION FROM PRIME CONTRACTOR- INDIVIDUAL (NRS § 52-143(1)) THE UNDERSIGNED, who may claim a lien under the Nebraska Construction Lien Act through ___________________________________ , a prime contractor hereby requests that the prime contractor provide to the undersigned within a reasonable time not exceeding ten (10) days, the following information: 1) A description of the real estate being improved sufficient to identify it; 2) The name and address of the contracting owner with whom the prime contractor contracted; and 3) Whether there is a surety bond, and if so, the name of the surety. If you fail to furnish the requested information, you will be liable to the undersigned requesting party for actual damages or two hundred dollars ($200.00) as liquidated damages. This the _____ day of _____________ , 20 ______ . __________________________________ Signature of Lien Holder _____ _____________________________ Type or Print Name Request for Information from Prime Contractor Page 1 of 1

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