HomeMy WebLinkAbout947805When Recorded Return to:
RECEIVING # 947805
BOOK: 725 PAGE: 573
JEANNE WAGNER
E & S Legal Services, LLC LINCOLN COUNTY CLERK, KEMMERER, WY
Post Office Box 3029
Cheyenne, WY 82003
RELEASE OF VERIFIED LIEN STATEMENT
Claimant, State of Wyoming, Department of Health, Office of Medicaid located at 6101
Yellowstone Road, Suite 210, Cheyenne, Wyoming 82002, hereby releases the VERIFIED LIEN
STATEMENT FOR LIEN FOR MEDICAL ASSISTANCE which was recorded on 6/3/2005, in Book
587, Page 136, as Document No. 908915 on property owned by Elinor Brown and affecting the
lands described as:
County of Lincoln, State of Wyoming
Commencing at a point which is 40 rods West and 20 rods South from the Northeast corner
of the NE1/4NW1/4 of Section 10, T31N R1 19W of the 6th P.M., Lincoln County, Wyoming and
running thence South 14 rods; thence West 15 rods; thence North 14 rods; thence East 15 rods to
the place of beginning, being a part of what is Lot 5 in Block 2 of the Fairview, Wyoming Townsite.
Together with all improvements situate thereon and all easements and appurtenances belonging
thereto.
The above described lien is fully released as to the above-described real property, but
Claimant expressly retains and reserves the right to satisfy the remaining debt due and owing
Claimant from any and all other available assets.
Notwithstanding any other provision in this Release of Verified Lien Statement, Claimant is
not releasing or waiving any 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
Elinor Brown has an interest.
IN WITNESS WHEREOF, I do hereunder set my hand this64ay ofMay, 2009.
State of Wyoming,
Oevartment of HeA
STATE OF WYOMING )
) ss.
COUNTY OF LARAMIE )
By: Sheila Mttriern€y'
Its: Recovery Manager
This instrument was acknowledged before me on d-7 day of May, 2009 by Sheila
McInerney as Recovery Manger of the Wyoming Department of Health, Office of Health Care
Financing.
WITNESS my hand and official seal.
CYN iIAK we AN • w rueuc 4NaLyP u WROM My Commission expires:
MY 19SION EXPIRES 1 3, 13