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00031.5
RECORDING REQUESTED BY AND
WHEN RECORDED MAIL TO:
CHILD SUPPORT ATTORNEY
DEPARTMENT OF CHILD SUPPORT SERVICES
PO BOX 391
PLACERVILLE, CA 95867
RECEIVED 5/1/2007 at 10:28 AM
RECEIVING # 928907
BOOK: 656 PAGE: 315
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
SPACE ABOVE THIS LINE RESERVED FOR RECORDER'S USE
TITLE(S)
NOTICE OF LIEN
""rnNEY OR PARTY WITHOUT ATTORNEY (Name and Address!: 0052524 FOR RECORDER'S USE ONL Y
Recording requested by and return to: 09LLI
I- CHILD SUPPORT ATTORNEY **********
DEPARTMENT OF CHILD SUPPORT SERVICES
PO BOX 391
PLACERVILLE, CA 95667
TELEPHONE NO.: (530) 621-5600
DATTORNEY FOR DJUDGMENT CREDITOR W ASSIGNEE OF RECORD
SUPERIOR COURT OF CALlFORNIA, COUNTY OF EL DORADO
STREET ADDRESS: 495 MAIN STREET
MAILING ADDRESS:495 MAIN STREET
ITY AND ZIP CODE :PLACERVILLE, CA 95667
BRANCH NAME: SUPERIOR COURT OF CALIFORNIA, EL DORADO
PETITIONER/PLAINTIFF: COUNTY OF EL DORADO
RESPONDENT/DEFENDANT: ISRAEL LOPEZ, JR,
OTHER PARENT: BONNIE J, LUKESH
CASE NUMBER:
NOTICE OF LIEN PFS20030512
7624/DEC 06
09lLl ENF020
0928907:
0003j.S
Notice of Lien
TO:
(Name/Address of recorder or asset holder)
LINCOLN COUNTY CLERKS OFFICE
925 SAGE AVE. SUITE 101 (FIRST FLOOR)
KEMMERER, WY 83101
Obligor:
( Na me/Address/DO B/SSN)
ISRAEL LOPEZ,JR .
PO BOX 256
AFTON, WY 83110-0256
DOB: 12-08-1976
SSN:
FROM:
(lV-D Agency or name of obligee
and/or his or her private attorney
or entity acting on behalf of the obligee,
address, phone, e-mail address, fax number)
DEPARTMENT OF CHILD SUPPORT SERVICES
PO BOX 391
PLACERVILLE, CA 95667
TELEPHONE: (530) 621-5600
E-MAIL ADDRESS:
Obligee:
(Name)
FAX: (530) 621-2022
BONNIE J. LUKESH
IV-D CaseD: 0052524
This lien results from a child support order, entered on 12-01-2003 by the SUPERIOR COURT OF
CALIFORNIA IN THE COUNTY OF EL DORADO in CA tribunal number PFS20030512
As of 01-12-2007 ,the obligor owes unpaid support in the amount of $9226.98
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 property 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:
7624/DEC 06 09LLI ENF020
O~28907
on v__ t7
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,
Note to Lien Recorder: Please provide the sender with a copy of the filed lien, containing the
recording information, at the address provided above.
Check either "A" or "8" below. The option that does not apply may be omitted from the form,
If "8" is checked, the form must be notarized,
A. [ X ] Submitted by a IV-D agency/office on behalf of the named obligee
As an authorized agent of a State or Tribal, or subdivision of a State or Tribal, agency responsible
for implementing the child support enforcement program set forth in Title IV, Part 0, of the Federal
Social Security Act (42 U.S.C, 651 et seq,), I have authority to file this child support lien in any
State, or U,S, Territory. For additional information regarding this lien, including the pay-off amount,
please contact the authorized agency and reference its case number, both listed above,
JANUARY 12, 2007
Date
d(aß.~~
Authorized Agent
LINDA L. IMEL
Print name, e-mail address, phone and fax number
TELEPHONE: (530) 621-5600
FAX: (530) 621-2022
E-MAIL ADDRESS:
B. ] Submitted by an obligee or a private (non-lV-D) attorney or entity on behalf of an
I am ] the obligee of the above referenced order [orl
] an attorney or entity representing the above named obligee
I certify under penalty of perjury that the information contained in this notice is true and accurate
and that this lien is submitted in accordance with the laws of the State of California,
For additional information regarding this lien, including the pay-off amount, please contact the
obligee listed above,
Date
Signature
Print name, e-mail address, phone and fax
O~2S907
0003:18
Notary State: CALIFORNIA
County:
EL DORADO
I certify that LINDA L. IMEL
the individual who signed the above.
appeared before me and is known to me as
"
~1;;fo1
LINDA IMEL
Notary Public
Date
My appointment expires
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Notice: Respondents are not required to respond to this information collection unless it displays a valid OMS
control number. The average burden for responding to this information collection is estimated at 30 minutes,
If you believe this estimate is inaccurate, or if you have ideas to reduce this burden, please provide comment to
the issuing agency.
OMS Control#: 0970-0153 Expiration Date: 01/31/2008
7624/DEC 06
09LLI ENF020