HomeMy WebLinkAbout912968
_' .:.;._..:;:;;t:';C.:a:t.:I.I:Lo.J,~_
...:.. x~;,:;;,,),;.:'IO::i:21ó;,,:c_, '.~V"
.'.', ~-." ,.",~.t.".""-,::,:;,,.,
r:(ifS,50
1... .) d
STATE OF WYOMING
STATEMENT OF LIEN
RECEIVED 10/20/2005 at 10:21 AM
RECEIVING # 912968
BOOK: 601 PAGE: 850
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
COUNTY OF LINCOLN
)
) ss.
)
I, Sharon L. Backus, Manager for Star Valley Ranch Association, Inc., a
Wyoming Corporation, being first duly sworn, heæby state as follows:
1. Star Valley Ranch Association, Inc., is located at 781 Vista Drive, P.O.
Box 159 Thayne, WY 83127 and is the entity hereby seeking enforcement of this Lien.
2. That under the provisions of the Declaration of Covenants, Conditions and
Restrictions of the Star Valley Ranch Subdivision and the Association ("the Declaration)
Dana Lucero and Alicia & Michael Terry owe to Star Valley Ranch Association, Inc., the
amount of Five Hundred Twenty One Dollars and Fifty Seven Cents ($521.57).
3. That the last known address of Dana Lucero and Alicia & Michael Terry
is 16422 S. 46th Street Phoenix, AZ 85048.
4. That said debt is owed because of Dana Lucero and Alicia & Michael
Terry's obligation under the Declaration of Covenants, Conditions and Restrictions of the
Star Valley Ranch Subdivision and the Association.
\ ij
5. That the name of the person(s) against whom this Lien is claimed is: Dana
Lucero and Alicia & Michael Terry.
6. That this Lien is for the Association Dues due and owing to Star Valley
Ranch Association, Inc. for the year of 2005.
7. That the legal description of the property benefited by the services of Star
Valley Ranch Association, Inc. is: Plat 21 Lot 101.
8. That a copy of the instrument creating the obligation is attached as
EXHIBIT A.
DATED this ~ay of October, 2005.
~~
Sharon Backus, Manager
Star Valley Ranch Association, Inc.
Statement of Lien
Page 1 of2
[±:lli~¡lli~~~ p'
,\
~'.
~
~iR~mm~;[¡I
. '.:; '.o. ;,aa..t;:h-"';';!iJ"~,,,-.,·,·,,'t~i1'::,~;:.¡¿"'.; '_", 'f.:.;.' «..~ .~,
..',;.;"·iCc.;Id.;:O;,..:..t..
,., ',,;:.. ··.::::t::~·,.¡:.~W..:!:'.·-·,-!:",. .....~:: '- "~k:.~·:,.l: "::',>_'~~~" .. ,..:' ''->' ,". ~h.,·.,~'''':~''.:!;4;:::·,·,.. ''.;.-, ",' '. _..!A" ". ',!~I;~,:,
091.2968
f/ì"r,:.c51
"\".'0
~1~
SUBSCRIBED AND SWORN TO, AND ACKNOWLEDGED before me by
SHARON BACKUS, who acknowledged further that she is the Manager of Star Valley
Ranch Association, Inc., and that she signed the foregoing STATEMENT OF LIEN for
and on behalf of Star Valley Ranch Association, In~rsuant to the authority given to
her by said Corporation's Board of Directors, this', day of October, 2005.
WITNESS my hand and official seal.
s~~~
NOTARY PUBLIC ~
My Commission expires: D 5 -0< -)J)<Jl
~{"::'~zt:::-:::'~~~'-;';;"_~"_"". ._~
"SUD . '~"'~'~~
~, ELLA PETTY NOTA!';\! ':;" ,_ ¡ . ~ " '
~.-: . ", ~:.:._.'v ,,'
~ County of ,.;
(, Lincoln State of
~" . Wycmlng
~~...M)'G?mmiss'on Expires It!:? ., ',1 (~
~'-~<''''-'~7~~J
Statement of Lien
Page 2 of2
~:.,.j<