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000698
ST ATEMENT OF LIEN
RECEIVED 11/9/2006 at 10:49 AM
RECEIVING # 924251
STATE OF WYOMING ) BOOK: 639 PAGE: 698
) JEANNE WAGNER "
ss.
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)
Steven R. McLaughlin owes to Star Valley Ranch Association, Inc., the amount of
$545.26.
3. That the last known address of Steven R. McLauglin is P.O. Box 2796
Jackson, WY 83001.
4. That said debt is owed because of Steven R. McLaughlin'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:
Steven R. McLaughlin.
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 100 in Star Valley Ranch Plat 6, Lincoln County
Wyoming.
8. That a copy of the instrument creating the obligation is attached as
EXHIBIT A.
DATED this {, 'ft'Lday of November, 2006.
~
Sharon Backus Manager
Star Valley Ranch Association, Inc.
Statement of Lien
Page l.of2
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000699
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. p~uant to the authority given to
her by said Corporation's Board of Directors, this ~day of November, 2006.
WITNESS my hand and official seal.
MARY E. GARRETI NOTARY PUBLIC
County of
Lincoln
State of
Wyoming
'#k~.d ~jjd-
N T R UBLlC
Commission 8< '¡, ~ CÀ,1ober 5, 2009
My Commission expires: /¡J-5 -¿;;1'
Statement of Lien
Page 2,of2
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