HomeMy WebLinkAbout944412
6010817339
When Recorded Return to:
E & S Legal Services, LLC
Post Office Box 3029
Cheyenne,VVY 82003
RELEASE OF VERIFIED LIEN STATEMENT
(;0\11.66
Claimant, State I fWyoming, Department of Health, Office of Medicaid located at 6101
Yellowstone Road, Suit 210, Cheyenne, Wyoming 82002, hereby releases the VERIFIED LIEN
STATEMENT FOR LIE FOR MEDICAL ASSISTANCE which was recorded on 3/3/2008, in Book
688, Page 400, as Doc ment No. 937294 on property owned by Nellie Martin and affecting the
lands described as: .
Part of Lot 2 of Block 28 of the Afton Townsite, Lincoln County, Wyoming
being descri ed as follows:
Commencin at a point which is 9 1/3 rods and 12 feet;
thence Sout 4 2/3 rods;
thence West rods and 12 rods;
thence North 4 2/3 rods to the point of beginning,
The above desc ibed lien is fully released as to the above-described real property, but
Claimant expressly reta ns and reserves the right to satisfy the remaining debt due and owing
Claimant from any and ~II other available assets.
I
Notwithstanding ~ny other provision in this Release of Verified Lien Statement, Claimant is
not releasing or waiving ~ny rights it has or may have to satisfy the remaining unpaid debt from any
and all other assets, including past, present, and future assets, owned by or in which the Estate of
Nellie Martin has an inte~est.
I
IN WITNESS W~EREOF, I do hereunder set my hand this 1-5~lday of August, 2008.
RECEIVED 12/30/2008 at 12:47 pM
i
RECEIVING # 944412 I
BOOK: 712 PAGE: 166
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
STATE OF WYOMING I
,
)
) ss.
)
COUNTY OF LARAMIE:
I
This instrument was acknowledged before me on Q day of
Sheila Mcinerney as Recovery Manger of the Wyoming Department of Healt
Care Financing.
WITNESS my hand and official seal.
c_~~ l. (^)o\h/1¡~
NWv;) Public
My Commission expires: 4 I 13' DC¡
1