HomeMy WebLinkAbout934191
STATEMENT OF LIEN
STATE OF WYOMING
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000100
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 Danccr Owner Association, Inc., is located at 1195 Trail Ridgc Road, (South
of Alpine), P.O. Box 3207, Alpine, WY 83128 and is the entity hereby seeking
enforcement of this Lien against Lot #21, 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 G. &
Anna C. Turner owes to Shadow Dancer Owner Association, the amount of Fourteen
Hundred and fifty dollars and no cents ($1,400.00 dues and $50.00 Late fee plus
interest @ 15% fifteen percent annum, starting Oct. 15,2007 as late).
3. That the last known address of David G. & Anna C. Turner is P.O. Box 3496, Alpine,
WY 83128.
4. That said debt is owned because of David G. & Anna C. Turner 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 G. & Anna
C. Turner.
6. That this Lien is for the Association Assessment and owing to Shadow Dancer Owners
Association for paving.
7. That the legal description of the property benefited by the services of Shadow Dancer
Owners Association is Plat #173C, Lot 21, 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 15day of Oct., 2007.
RECEIVED 10/19/2007 at 11 :33 AM
RECEIVING # 934191
BOOK: 676 PAGE: 100
JEANNE WAGNER
LINCOLN COUNTY CLERK. KEMMERER. WY
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 Danccr Owner Association, pursuant to the authority given to him by
said Corporations' Board of Directors, this 15day of Oct., 2007.
~/é'~- vI
Æ, Michael Kibbie, Vice President
Shadow Dancer Owner Association
Witness my hand and official seal.
My Commission expires: ,44 '- ~.... ðfJ/f
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tary Public ./
This Docu""nt is beln, recqrded by
Rocky Mountll" Title Insurance Agency
of Lincoln County as. COURTESY only