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CONTRACTUAL LIEN DATE: /�,% �'5 n 85--- 004615 LIEN CLAIMED BY:�ers 1 1 Nr20q "Oe"sa! %�R9G to +aTian LIEN CLAIMED AGAINST: J1�ber1 ! JJ � 0 ✓6.fn5jn STATE OF NEBRASKA ! ss. COUNTY Of HALL ) eP�,Cn } lUcag� S being first duly sworn upon oaths neposes an s s: 1. Affiant is a resident of Hall County, Nebraska, and is Sj;, of Pipers Glen Homeowners Associa- tion, non-prorit Nebraska corporation, organized to provide for the maintenance, preservation and architectural control of the residential lots and common area within a certain tract of property. 2. Pursuant to the By -Laws and Declarations of said Homeowners Association, the Association has established an assessment against its members in the amount of $300.00 per year in increments of Twenty -Five Dollars ($25.00) per month so as to enable the Association to carry out ics pur- poses as stated hereinabove. 3. by virtue of being the owner of the real esta ' as Lot ' o-- 5-A Pipers Glen Subdivision, in the City of Grand Island, HALL County. Nebraska, is a member of said Pipers Glen Homeown- ers Association and therefore subject to the terms and con- ditions of the By -Laws and Declarations of said Homeowners Association. 4. Said has failed to pay to the Pipers Glen Homeown+ r hssociation thethe-,assess- ment against said Lot for a period of time from 5� • „ e + i`�? through 1�e�ie� b 3[_�, 13`4 5 r a to- t& amount o 5 ' r °c' Ipius interest t ereon at the race allowed by law. ant states that Pipers Glen Homeowners Association claims a lien on the real estate described here - inabove as authorized by the Association's By -Laws and Dec- larations for the said amount of the unpaid account togeth- er with such additional monthly delinquencies in the amount of Twenty -Five Dollars ($25.00) per month as may continue to accrue. PIPERS GLEN HOMEOWNERS ASSOCIATION HOMEOWNERS ASSOCIATION, A Non- Profit Nebraska Corporation r: Subscsibed and 's �o before me this `, day of wit '►� h � _. 19 ' :'� U IR