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Home My WebLink About936375 RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO: MICHAEL J. SYMONS. 8BN 160871 CHILD SUPPORT ATTORNEY DEPARTMENT OF CHILD SUPPORT SERVICES POBOX 970 UKIAH. CA 95482 RECEIVED 1/22/2008 at 10:42 AM RECEIVING # 936375 BOOK: 684 PAGE: 322 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY 000322 SPACE ABOVE THIS LINE RESERVED FOR RECORDER'S USE TITLE(SI NOTICE OF LIEN rnNEY OR PARTY WITHOUT ATTORNEY (Name and Address!: 0023235 FOR RECORDER'S USE ONL Y Recording requested by and return to: 23DEC MICHAEL J. SYMONS, SBN 160571 _ CHILD SUPPORT ATTORNEY DEPARTMENT OF CHILD SUPPORT SERVICES POBOX 970 UKIAH. CA 95482 TELEPHONE NO.: (707) 463·4216 DATTORNEY FOR DJUDGMENT CREDITOR [X] ASSIGNEE OF RECORD SUPERIOR COURT OF CALIFORNIA, COUNTY OF MENDOCINO STREET ADDRESS: 100 NORTH STATE STREET MAILING ADDRESS: ITY AND ZIP CODE :UKIAH, CA 95482 BRANCH NAME: MENDOCINO COUNTY SUPERIOR COURT PETITIONER/PLAINTIFF: TAM BRA LYNN BAKER RESPONDENT/DEFENDANT: RONALD V. BAKER, JR. OTHER PARENT: CASE NUMBER: NOTICE OF LIEN SCUKCVFS0750363 LINCOLN COUNTY CLERK 925 SAGE AVE 101 FIRST FLOOR KEMMERER, WY 83101 000323 Notice of Lien TO: (Name/Address of recorder or asset holder) Obligor: ( Name/Address/DO B/SSN) RONALD V. BAKER PO BOX 5159 ETNA, WY 83118-0159 UNITED STATES DOB: 02-15-1972 SSN: 558-06-4686 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 POBOX 970 UKIAH, CA 95482 TELEPHONE: (707) 463-4216 E-MAIL ADDRESS: Obligee: . (Name) FAX: (707) 472-2820 T AMBRA L. BAKER IV-D CaseD: 0023235 This lien results from a child support order, entered on 11-08-2007 by the SUPERIOR COURT OF CALIFORNIA IN THE COUNTY OF MENDOCINO in CA tribunal number SCUKCVFS0750363 As of 01-10-2008 , the obligor owes unpaid support in the amount of $$9,791.08 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: 000324 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 "B" below. The option that does not apply may be omitted from the form. If "B" is checked, the form must be notarized. Ä. [ X ] Submitted by a IV-D agency/office on behalf of the named obligee As an authorized agent of a State or Tribal, or SUbdivìion of a State or Tribal, agency responsible for implementing the child support enforcement progr m set forth in Title IV, Part 0, of the Federal Social Security Act (42 U.S.C. 651 et seq.), I have a thority to file this child support lien in any State, or U.S. Territory. For additional information re arding this lien, including the pay-oft amount, please contact the authorized agency and reference i s case number, both listed above. r, ,.({lIIJ(!ÁJ f1~ JANUARY 10, 2008 Date Authorized Agent DIANNA E. CHARLES Print name, e-mail address, phone and fax number TELEPHONE: (707) 463-4216 FAX: (707) 472-2820 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 refèrenced order [or] ] 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 County: MENDOCINO 000325 Notary State: CALIFORNIA I certify that DIANNA E. CHARLES the individual who signed the above. appeared before me and is known to me as J I ù 1 'L 0 0'( 'Î \f; d _1\ ~) .~~ Notary Public f\l.~-Z..Q..\.QvL~jJ ~~ Date My appointment expires LilLIE'. M'c;'=~.. ~. ';~:=c~ Callfornta I i Mendocino county 11 J 1 Mv~'''''~~~ J ...... - -- ~..... 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 Subscribed and sworn to (or affinned) before me on this J (fIr day of :::::r c~. , ~. Jurat State of California County of ~lY'tlCl (, \ f'\ -{ì 000326 20L)<6 by ~i~Q_ (\ _/(J'- J. .1\ ~ proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. \~AAC'Jt ~ Signature ~ - (Notary seal) -------- ----- --, Ie LESLIE E. MICHAEL Commll.lon f 176"" ~I Notary PuÞIIc . California I J Mendocino :,unw.¡ ~~~~~~~~"'-~, OPTIONAL INFORMATION (Title or description of attached document) INSTRUCTIONS FOR COMPLETING THIS FORM The wording of all Jurats completed in California after January J, 2008 must be in the form as set forth within this Jurat. There are no exceptions. If a Jurat to be completed does not follow this form, the notary must correct the verbiage by using a jurat stamp containing the correct wording or attaching a separate jurat fonn such as this one which does contain proper wording. In addition, the notary must require an oath or affirmation from the document signer regarding the truthfulness of the contents of the document. The document must be signed AFTER the oath or affirmation. If the document was previously signed, it must be re-signed in front of the notary public during the jurat process. DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document continued) (Additional information) o State and County information must be the State and County where the document signer(s) personally appeared before the notary public. o Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the jurat process is completed. o Print the name(s) of document signer(s) who personally appear at the time of notarization. o Signature of the notary public must match the signature on file with the office of the county clerk. o The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges. re-seal if a sufficient area permits, otherwise complete a different jurat form. .:. Additional information is not required but could help to ensure this jurat is not misused or attached to a different document. .:. Indicate title or type of attached document, number of pages and date. o Securely attach this document to the signed document Number of Pages _ Document Date 2008 Version CAPA v1.9.07 800-873-9865 www.NotaryClasses.com