Notice Of Right To Lien Form
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NOTICE OF RIGHT TO LIEN
Pursuant to NRS §108.221 through §108.245 and NRS §339.035
***THIS IS NOT A LIEN***
THIS DOCUMENT MERELY RESERVES THE STATUTORY RIGHTS OF THE CLAIMANT TO FILE A MECHANIC’S LIEN, AND THUS IS NOT A
REFLECTION ON THE INTEGRITY OF THE CONTRACTOR OR SUBCONTRACTORS NAMED HEREIN.
***Notice to Property Owners***
THIS IS NOT A NOTICE THAT THE UNDERSIGNED HAS NOT, OR DOES NOT EXPECT, TO BE PAID, BUT A NOTICE REQUIRED BY LAW
THAT THE UNDERSIGNED, AT A FUTURE DATE, MAY RECORD A NOTICE OF LIEN AS PROVIDED BY LAW AGAINST THE PROPERTY IF
THE UNDERSIGNED IS NOT PAID
FROM:
The undersigned notifies you that:
Company Name:
License #
Address:
Nevada
City/State/Zip:
Phone #
Has supplied materials or equipment, or performed work or services as follows:
For improvement of the property defined as:
In the Amount of:
Address:
City/State/Zip:
This is an estimated amount, and is
APN: __________________________________________________
not a limitation of claimant final
ACT or Description: _____________________________________
amount
Under contract with:
Company Name
License #
Address:
Nevada
City/State/Zip:
Phone #
TO:
Owners (or Reputed Owners) or Public Agency: Lender (or Reputed Lenders):
Name:
Name:
Address:
Address:
Nevada
City/St/Zip:
City/St/Zip
Nevada
certified mailing info_______________________________
certified mailing info_______________________________
Contractor (or Reputed Contractor):
Purchase contractor (subcontractor):
Name:
Name:
Address:
Address:
Nevada
City/St/Zip:
City/St/Zip:
Nevada
certified mailing info____________________________________________
certified mailing info____________________________________________
Others: Surety, Tenant, Others (additional pages check here )
I, _________________________________declare that I served
copies of the above Notice by (check one) :
Name:
personal delivery to___________________________ at
Address:
____________________on _______________________
City/St/Zip
Nevada
by First Class Certified or Registered Mail, postage paid, addressed to eac
certified mailing info_______________________________________
_________________
the parties as listed above on
I declare under penalty of perjury that the foregoing is true and correct. By _____________________________________
Signed _____________________________________________________, on ____________________________________
Users of this form agree to hold Preliminary Notice, LLC, its owners, employees and affiliates harmless for liabilities arising from deficiencies in
the form. It is the responsibility of the user to verify through legal counsel or otherwise as to the completeness of the form.
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