HomeMy WebLinkAbout952738STATEMENT OF LIEN
STATE OF l
,SS.
COUNTY O— LeC4
C°0 760
I, F. Michael Kibbie, Vice President for Shadow Dancer Estates Owners Association, a
Wyoming nonprofit corporation, being first duly sworn, hereby state as follows:
1. Shadow Dancer Estates Owners Association is located at 1195 Trail Ridge Road,
(South of Alpine), P.O. Box 3207, Alpine, WY 83128 and is the entity hereby seeking
enforcement of this Lien against Lot 6 of Shadow Dancer Estates Subdivision,
Lincoln County, Wyoming.
2. That under the provisions of the Declaration of Covenants, Conditions and
Restrictions of Shadow Dancer Estates and Shadow Dancer Estates Owners
Association "The Declaration) recorded by the Lincoln County Clerk August 11,
2004, Lot 6 owes to Shadow Dancer Estates Owners Association, the amount of Eight
Hundred and seventy five dollars and no cents ($825.00 dues and $50.00 Late fee plus
interest 15% fifteen percent annum, starting February 19, 2010 as late).
3. That the last known address of Melanie Simon is 970 West Broadway #313, Jackson,
WY. 83001.
4. That said debt is owed because of Melanie Simon's 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 Estates Owners Association.
5. That the name of the person(s) against whom this lien is claimed is Melanie Simon.
6. That this Lien is for the Association Dues due and owing to Shadow Dancer Estates
Owners Association for the year of 2010.
7. That the legal description of the property benefited by the services of Shadow Dancer
Estates Owners Association is Plat #173C, Lot 6 of Shadow Dancer Estates
Subdivision, Lincoln County, Wyoming.
8. That a copy of the instrument creating the obligation has been filed with the Lincoln
County Recorder, at Book 564PR, Page 488, instrument number 901863.
Dated this day of March, 2010.
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 Estates Owners Association, and that he signed the foregoing STATEMENT OF
LIEN for and on behalf of Shadow Dancer Estates Owners Association, pursuant to the authority
given to him by said Corporations' Board of Directors, this day of Ey&A 2010.
Witness my hand and official seal.
This Document is being recorded by
Rocky Mountain Title Insurance Agency
of Lincoln County as a COURTESY only
My Commission expires: Ark/ C-
1
Michael Kibbie, Vice President
Shadow Dancer Estates Owners Association
NOTARY PUBLIC
DENNIS C. CONGROVE
3121 West Directors Row
Salt Lake City, Utah 84104
My Commission Expires
April 5, 2011
STATE OF UTAH