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STATEMENT OF LIEN
RECEIVED 7/9/2007 at 3:54 PM
RECEIVING # 931061
BOOK: 664 PAGE:<?,3'(
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
STATE OF WYOMING
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) ss. 000834
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COUNTY OF LINCOLN
I, F. Michael Kibbie, Vice President for Shadow Dancer Owner Association, Inc., a Wyoming
Corporation, being first duly sworn, hereby state as follow:
1. Shadow Dancer Owner Association, Inc., is located at 1195 Trail Ridge Road, (South
of Alpine), P.O, Box 3207, Alpine, WY 83128 and is the entity hereby seeking
enforcement of this Lien against Lot # 24 Shadow Dancer Subdivision.
2. That WIder the provisions of the Declaration of Covenants, Conditions and
Restrictions of Shadow Dancer Estates and Shadow Dancer Owners Association ("The
Declaration) recorded by the Lincoln COWIty Clerk August 11,2004, Cache Creek
Group, LLC, owes to Shadow Dancer Owner Association, the amoWIt of Eight
HWIdred and fifty dollars and no cents ($800.00 dues and $50.00 Late fee plus interest
@ 15% fifteen percent annum, starting Dec. 15,2006 as late).
3. That the last known address of Cache Creek Group, LLC is at P. O. Box 3039,
Jackson, Wyoming, 83001.
4. That said debt is owned because of Cache Creek Group, LLC obligation WIder
Article IV Covenant for Maintenance Assessments (1.) Creation of the lien and
Personal Obligation of Assessments obligation WIder the Declaration of Covenants,
Conditions and Restrictions of the Shadow Dancer Owners Association.
5, That the name of the person(s) against whom this lien is claimed is Cache Creek
Group LLC,
6. That this Lien is for the Association Dues due and owing to Shadow Dancer Owners
Association for the year of 2007.
7. That the legal description of the property benefited by the services of Shadow Dancer
Owners Association is Plat #173C, Lot #24, filed @ Lincoln COWIty, Wyoming.
8, That a copy of the instrument creating the obligation has been filed with the Lincoln
COWIty Recorder Book 564n PR Page 488,901863,489 to 503.
Dated this 26 day of JWIe, 2007.
;74.~.-' :; /~ 1//
Æ, Michael Kibble, Vice President
Shadow Dancer Owner Association
SUBSCRIBED AND SWORN TO, AND ACKNOWLEDGED before me by F.
Michael Kibbie, Vice President, who acknowledged further that he is the Vice President of
Shadow Dancer Owners Association, and that he signed the foregoing STATEMENT OF LIEN
for and on behalf of Shadow Dancer Owner Association, pursuant to the authority given to him by
said Corporations' Board of Directors, this 26 day of JWIe, 2007.
Witness my hand and official seal.
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