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NOTICE OF LIEN
PURPOSE OF THIS FORM:
42 USC ~54(9)(E) requires aIlIV-D programs to use the. Notice of Lien form in interstate cases. IV-D programs may
also use th~ form to impose liens ¡nintrastate cases. This form may also be used for non-IV~D orders by an obligee or
his or her private attorney. This form may be used to assert liens on assets discoverea through the Flnanciallnstitution
Data Match process. Please note that the expiration date on this form is the Office of Management and Budget
expiration date, not the expiration date of the lien itself.
TO:
Lincoln County Wyoming Courthouse .
925 Sage Avenue Suite 101
Kemmerer, Wyoming 83101
RECEIVED 7/11/2007 at 10:51 AM
RECEIVING # 931151
BOOK: 665 PAGE: 269
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
OBLIGOR:
Matthew M. Stephenson
1.95 Gannett Drive
Rock Springs, WY 82901
DOB: 1967
55: xxx-xx-õ197
aIkla 5S: xxx-.xx-3900
FROM:
The Law Office of Ronn Bisbee
P.O. Box 769
Dana Point, California 92629
Phone (949) 461-9664
OBLIGEE:
Kimberly Stephenson c/o
The Law Office of Ronn Bisbee
P.O. BoX 769
Dana Point, California 92629
~V-D Case #: N/A
This lien results from a child support order, entered on December 20, 1994, by the SUDerior Court of California, for
ìehama County, case number ~
As of June 30, 2007 the oblígor owes unpaid support in the amount of ~69,550.00. This judgment may be subject to
interest.
Prospective amounts of child support, nofpaid 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:
123 Coyote Street
Opal, WY 83124 .
ParcellD No. 2114-263-09-063-00; Book 635, Page 254, Opal Original Town, Block 8, Lot 3.
NOTE TO LIEN RECORDER: .
Please provide a copy of the recorded Notice of Lien to: The Law Office of Ronn Bisbee (address below).
All aspects of this lien, including íts 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 This lien remains in effect until released or withdrawn by the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.
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Check either "A" or "B" below. The option that does not apply may be omitted from the form. If "B" is checked, the form
must be notarized.
A. [] 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 D, 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.
Date
Authorized Agent
Print name, e-mail address, phone and fax number
B. [X] Submitted by an obligee or a private (non-lV-D) attorney or entity on behalf of an obligee
I am [ ] the obligee of the above referenced order [or]
[X] 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 WYoming.
For additional information regarding this Ii
Bisbee.
? -e;: -07
Date
off amount, please contact The Law Office of Ronn
R n Bisbee, At orney at Law
he Law Office of Ronn Bisbee
P.O. Box 769
Dana Point, California 92629
Phone (949) 481-966
Email: rbfamilylaw@yahoo.com
STATE OF: CALIFORNIA
COUNTY OF: ORANGE
On 1 - S- - 0" before me, lS ~ 0. ~ Jl.e. A8 \...\.. ; Q C\ Y' personally appeared Ronn Bisbee
(Date) . (Name ¡ft}d title ofpersoUaking acknQwledgement) (Name of person signing)
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the
within instrument and acknowledged to me that he executed the same in his authorized capacity and that by his signature on the
instrument the person or the entity upon behalf of which the person acted, executed the instrument.
WITNESS my hand and official se~h
~f~ ~ "1
Signature ofi fficer
(Seal)
,r......... ~.~~ BRIGiTTE AGUILAR
.... .'~ Cornm, # 1481750
tQ:"i~ NOT.4RY PUBLIC· CALIFORNIA tn
.~ J:'" Oi80g6 Counly -
~.""",,,,~:~~,~~ì;~:..=, A!R. 9,~008. T
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