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STATEMENT OF LIEN
RECEIVED 7/18/2007 at 1:20 PM
RECEIVING # 931374
BOOK: 666 PAGE: 103
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
STATE OF WYOMING
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) SS.
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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 #23 Shadow Dancer Subdivision.
2. That under 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 County Clerk August 11,2004, David
Moneyhun Living Trust (112) & Abigail Moneyhun Living Trusts (112) owes to
Shadow Dancer Owner Association, the amount of Eight Hundred 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 David Moneyhun Living Trust (1/2) & Abigail
Moneyhun Living Trusts (1/2) is 2220 W. Upland St., Rock Springs, WY 82901-
5803.
4. That said debt is owned because of, David Moneyhun Living Trust (1/2) & Abigail
Moneyhun Living Trusts (1/2) obligation under Article IV Covenant for Maintenance
Assessments (1.) Creation of the lien and Personal Obligation of Assessments
obligation under 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, David Moneyhun
Living Trust (1/2) & Abigail Moneyhun Living Trusts (1/2).
6. That this Lien is for the Association Dues due and owing to Shadow Dancer Owners
Association for the year of2007.
7. That the legal description of the property benefIted by the services of Shadow Dancer
Owners Association is Plat #173C, Lot 23, fIled @ Lincoln County, Wyoming.
8. That a copy of the instrument creating the obligation has been fIled with the Lincoln
County Recorder Book 564n PR Page 488,901863,489 to 503.
Dated this 17th day of July, 2007.
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/F, Michael Kibbie, Vice President
Shadow Dancer Owner Association
SUBSCRIBED AND SWORN TOt 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 Ass,qciation, pursuant to the authority given to him by
said Corporations' Board of Directors, this iJ..t!day of July, 2007.
Witness my hand and official seal.
My Commission expires: ..1/bL.. S; ZQJ /