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000694
STATEMENT OF LIEN
RECEIVED 11/9/2006 at 1 0:46 AM
RECEIVING # 924249
STATE OF WYOMING ) BOOK: 639 PAGE: 694
) ss. JEANNE WAGNER '.
COUNTY OF LINCOLN ) LINCOLN COUNTY CLERK, KEMMERER, WY
I, Sharon L. Backus, Manager for Star Valley Ranch Association, Inc., a
Wyoming Corporation, being first duly sworn, hereby 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)
Anna Dee Stewart owes to Star Valley Ranch Association, Inc., the amount of $1,569.27.
3. That the last known address of Anna Dee Stewart is P.O. Box 354 Thayne,
WY 83127.
4. That said debt is owed because of Anna Dee Stewart's obligation under the
Declaration of Covenants, Conditions and Restrictions of the Star Valley Ranch
Subdivision and the Association.
5. That the name of the person(s) against whom this Lien is claimed is: Anna
Dee Stewart.
6. That this Lien is for the Association Dues due and owing to Star Valley
Ranch Association, Inc. for the year of 2006.
7. That the legal description of the property benefited by the services of Star
Valley Ranch Association, Inc. is: Lot 3 in Star Valley Ranch Plat 12, Lincoln County
Wyoming.
8. That a copy of the instrument creating the obligation is attached as
EXHIBIT A.
DATED this ~day of November, 2006.
Sharon Back ,Manager
Star Valley Ranch Association, Inc.
Statement of Lien
Page l.ofl
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000695
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, Inc: ptqsuant to the authority givðn to
her by said Corporation's Board of Directors, this ~ day of November, 2006.
WITNESS my hand and official seal.
County of
Uncaln
MARY E. GARRETT· NOTARY PUBLIC
-
State of
Wyoming
~.d &~
NO A PUBLIC
M Commission Expires Oct
My ComnllsslOn expues:
Statement of lien
Page 2 of2
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