HomeMy WebLinkAbout958708When Recorded Return to:
E S Legal Services, LLC
Post Office Box 3029
Cheyenne, VW 82003
RELEASE OF VERIFIED LIEN STATEMENT
Claimant, State of Wyoming, Department of Health, Office of Medicaid located at 2300
Capitol Avenue, Room 147, Cheyenne, Wyoming 82002, hereby releases the VERIFIED
LIEN STATEMENT FOR LIEN FOR MEDICAL ASSISTANCE which was recorded on
January 22, 2010, at Book 757, Page 606, as Document No. 956848 on property owned by
Neoma Mills and affecting the lands described as:
County of Lincoln, State of Wyoming
Lot 10 of Block 39 of the First Addition to the Town of Kemmerer, Lincoln
County, Wyoming as described on the official plat thereof 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 Neoma Mills has an interest.
IN WITNESS WHEREOF, I do hereunder set my hand this day of March,
2011.
RECEIVED 4/1/2011 at 11:17 AM
RECEIVING 958708
BOOK: 764 PAGE: 815
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
STATE OF WYOMING
COUNTY OF LARAMIE
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State of Wyoming,
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y: Sheila McInerney
Its: TPL /Recovery Coordinator
This instru t. was acknowledged before me on day of March, 2011 by
Sheila McpeN AL/Recovery Coordinator of the Wyoming Department of Health,
Office q' Halt ca frrancing.
v OTARY
WITH y han rid official seal.
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