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HomeMy WebLinkAbout909361{00693 RECEIVED 6~20/2005 at 11:07 AM RECEIVING # 909361 BOOK: 588 PAGE: 699 JEANF, E WAGNER LINCOLN COUNTY ,;LERK, KEMMERER, VVY NOTICE OF LIEN To: Lincoln County Clerk PO Box 670 Kemmerer, WY 83101 Obligor: Gregory D Brisson 95072 US Highway 89 Afion, WY 83110 DOB: 12/10/1950 SSN: 468-60-3279 From/Prepared By & Return to: CSE Child Support Enforcement PO Box 18988 Austin, TX 78760 Obligee: Evelyn Penna ..... IV-D Case #: 3-461 This lien results from a child support order, entered on 05/30/1979 by Chisago County in MN tribunal number 3-461. As of 06/13/2005, the obligor owes unpaid support in the amount of $57,501.25. This judgment may be subject to interest. Prospective amounts of child support, not paid when due, are judgments that are added to the lien amount. This lien attaches to all non-exempt real and/or personal properly of the above-named obligor which is located or existing within the State/county of filing, including any property specifically described below. Specific description of property: All aspects of this lien, including its priority and enforcement, are governed by the law of the State where the property is located. An obligor must follow the laws and procedures of the State where the property is located or recorded. An obligor may also contact the entity sending the lien. This lien remains in effect until released or withdrawn by the obligee or in accordance with the laws of the State where the property is located. Page 1 of 3 (?SE Case #355664 00700 Note to Lien Recorder: Please provide the sender with a copy of tile filed lien, containing the recording information, at the address provided above. Check either "A" or "B" below. The option that does not apply may be omitted from the fon-n. If"B" is checked, the form must be notarized. A. [ ] issued by a IV-D agency/office on behalf of the name obligee As an authorized agent of a State or Tribal, or subdivision of a State or Tribal, agency responsible for implementing the child support enforcernent program set forth in Title IV, Part D, of the Federal Social Security Act (42 U.S.C. 651 et seq.), I have auihority to file this child support lien in any state, or U.S. Territory. For additional infon-nation regarding this lien, including the pay-off amount, please contact the authorized agency and reference its case number, both listed above. Date Authorized Agent Print name, e-mail address, phone and fax number B. [x/] Submitted by an obligee or a private (non-IV-D) attorney or entity on behalf of an obligee/ctaimant I am: [ ] the obligee of the above referenced order [or] [~/] an attorney or entity representing the above named obligee I certify under penalty of perjury that the infon'nation contained in this notice is true and accurate and that this lien is submitted in accordance with the laws of the State of WY. For additional information regarding this lien, including the pay-off amount, please contact the obligee listed above. June 13, 2005 g a~tur~) ~~ Date Si e Matthew A. Landry, Jr., Chief Executive Officer CSE Child Support Enforcement Co., A Division of Support kids, Inc. 866-244-8921; FAX 512-437-6030 Print name, e-mail address, phone and fax nmnber Page 2 of 3 ,00701 State of' Texas County of: Trax3is I certify that Matthew A. Landr¥, Jr. appeared before me and is knoWn to me as the individual who signed the above. Date: June 13, 2005 N~ot a~ly Public My appointment expires Notice: Respondents are not required to respond to this information collection unless it displays a valid OMB control nmnber. The average burden for responding to this information collection is estimated at 30 minutes. If you believe this estimate is inaccm-ate, or if you have ideas to reduce this burden, please provide comment to the issuing agency. 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