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CONTRACTUAL LIEN DATE: 86— 1Q25�30 LIEN CLAIMED BY:` of LIEN CLAIMED AGAINST.L,F- � - STATE OF NEBRASKA ) ss. COUNTY OF HALL 1 being first duly sworn upon oat , { eposes and says: 1. Affiant is a resident of Hall County, Nebraska, and is _;c!''✓ of Pipers Glen Hom- owners Associa- tion, non -pro [ ,e raska 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 inembers in the amount of 5300.00 per year in increments of Twenty -Five Dollars ($25.00) per month so as to enable the Association to carry out its pur- poses as stated hereinabovP. !` b virtue of being 3. ;�. 1 fr � r, ` i y s the owner of the real estiti-,itscribed as Lot Pipers. Glen Subdivision, in the City of Grand s an all 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 nay to the Pipers�%n omeowners ssocfaC on the,assess- ment against said Lot for a period of tzme Erom '?" r through 1 to amount o $ "1 plug nterest thereon at Lhe rate 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 by i Subscribed and sworn to before me this day of 19 o% I if, t I c IM&�.ftftdft" T. I