HomeMy WebLinkAbout977104Note to Clerk: Please Do Not put recording Information Above this Line.
Claimant, State of Wyoming, Department of Health, Division of Healthcare Financing
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 December 9, 2013, at Book 825, Page 91, as Document No.
974448 on property owned by Lena Borino and affecting the lands described as:
A 1 /2 interest in Parcel No. 119 of the Town of Diamondville, Lincoln
County, Wyoming, as shown on the plat thereof dated August 31, 1942, 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 Lena Borino has an interest.
2014.
IN WITNESS WHEREOF, I do hereunder set my hand this ll of June,
STATE OF WYOMING
COUNTY OF LARAMIE
RELEASE OF VERIFIED LIEN STATEMENT
ss.
WITNESS my hand and official seal.
BRANDI L MORRIS
Notary Public
Laramie County
Wyoming
My Commission Expires
My Commission expires: 7 -G2.3 Ll
State of Wyoming,
rtment of
By: Sheila McInerney
TPL Estate Recovery Specialist
This Release of Verified Lien Statement consisting of one page was subscribed,
sworn to and acknowledged before me on this day of June, 2014 by Sheila
McInerney as TPL Estate Recovery Specialist of the Wyoming Department of Health,
Division of Healthcare Financing.
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977104 6/20/2014 12:05 PM
LINCOLN COUNTY FEES: $12.00 PAGE 1 OF 1
BOOK: 834 PAGE: 449 LIEN RELEASE ON LAND
JEANNE WAGNER LINCOLN COUNTY CLERK
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