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HomeMy WebLinkAbout936591 STATEMENT OF LIEN STATE OF WYOMING ) ) ss. ) 000206 COUNTY OF LINCOLN I, F. Michael Kibbie, Vice President for Shadow Dancer Owner Association, Inc., a Wyoming Corporation, being first ~uly 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 ofthis Lien against Lot #26 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, Deanna Blanchard owes to Shadow Dancer Owner Association, the amount of Seven Hundred and fifty dollars and no cents ($700.00 dues and $50.00 Late fee plus interest @ 15% fifteen percent annum, starting Sept. 01, 2007 as late). 3. That the last known address of Deanna Blanchard is P.O. Box 3621, Alpine, WY 83128. 4. That said debt is owned because of Deanna Blanchard obligation under Article IV Covenant for Maintenance Assessments (I.) 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 Deanna Blanchard. 6. That this Lien is for the Association Paving Assessment 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 26, 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:2 3 day of ~ 2008. ~, , Michael Kibbie, 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,~\ to the authority given to him by said Corporations' Board of Directors, thisZ3....day of '.,2008. My Co ~ Witness my hand and official seal. This Docum,-nt is being recqrded by Rocky Mountain Title Insurance Agency of LinColn County 8S 8 COURTESY only RECEIVED 1/29/2008 at 12:55 PM RECEIVING # 936591 BOOK: 685 PAGE: 206 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY