HomeMy WebLinkAbout961208When Recorded Return to:
E S Legal Services, LLC
Post Office Box 3029
Cheyenne, WY 82003
RELEASE OF VERIFIED LIEN STATEMENT 000529
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 10-
29 -2009, at Book 734, Page 729, as Document No. 950258 on property owned by Marion
Allred and affecting the lands described as:
LEGAL DESCRIPTION
State of Wyoming, County of Lincoln:
Beginning at a point which is 12 rods North from the Southeast Corner of the
Northeast Quarter of the Southeast Quarter (NE1 /4SE1/4) of Section 12 in
Township 31 North, Range 119 West of the Sixth Principal Meridian, and
running thence West 41.74 rods;
thence North 11.5 rods;
thence East 41.74 rods;
thence South 11.5 rods to the place of beginning.
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 Marion Allred has an interest.
N WITNESS WHEREOF, I do hereunder set my hand this
2011.
State of Wyoming,
art
By: Sheila McInerney
Its: TPL /Recovery Coordinator
1
ay of
RECEIVED 9/29/2011 at 9:55 AM
RECEIVING 961208
BOOK: 773 PAGE: 529
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
STATE OF WYOMING
COUNTY OF LARAMIE
This instrument was acknowledged before me on `2 h day of cT z 1 x ,/2011
by Sheila McInerney as TPL /Recovery Coordinator of the Wyoming Depa ment of Health,
Office of Healthcare Financing.
WITNESS my hand and official seal.
Sarah N. Kemp Notary Public
County of
Laramie
State of
Wyoming
T.. My Commission Expires July 5, 2015
ss.
0 00530
Notary Public
My Commission expires: 0/3 r (G
2