Fill and Sign the Ucc Revised Article 9 Formsnebraska Secretary of State

Notice of Right to Assert a Lien Page 1 of 3 NOTICE OF RIGHT TO ASSERT A LIEN- CORPORATION (NRS § 52-135(1)) STATE OF NEBRASKACOUNTY OF ___________________THE UNDERSIGNED, as a representative of __________________________________ a __________________________________ corporation which has entered into a contract under which it may claim a lien under the Nebraska Construction Lien Act hereby gives notice of the right to assert a lien to __________________________________ , the contracting owner, and in accordance with NRS § 52-135, states the following:1. This is a notice of a right to assert a lien against real estate for services or materials furnished in connection with improvement of the real estate.2.The owner or others may send communications to __________________________________, claimant at the following address: __________________________________________________________________ _________________________________________________________________.3.The claimant contracted with ________________________________ whose address is: ___________________________________________________________________________________________________________________________________.4.The lien is claimed against or may be claimed against _____________________________, the owner.5.The following is a general description of the services or materials provided or to be provided:__________________________________________________________________ _________________________________________________________________.6.The real estate against which the lien is or may be claimed is sufficiently described and identified as: ___________________________________________________________________________________________________________________________________. Notice of Right to Assert a Lien Page 2 of 37. The undersigned claimant is entitled to record a lien.8.The following amount is the amount unpaid to the claimant for services or materials, whether or not due, or if no amount is fixed by the contract, the following is a good faith estimate of the amount designated as an estimate: __________________________________________________________________ _________________________________________________________________. Warning: If you did not contract with the person giving this notice, any future payments you make in connection with this project may subject you to double liability. This the _____ day of _____________ , 20______.__________________________________Signature __________________________________Type or Print Name__________________________________Title__________________________________Name of CorporationAttest: 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) Notice of Right to Assert a Lien Page 3 of 3