HomeMy WebLinkAbout896977When Recorded Return to:
~BOOK 5477RP^OE ';dS O_
Espy Law Office, P.C. 80 L~ CI '7 '"/
2515 Warren Avenue, ~ult~
Cheyenne, ~ 82001
RECEIVED
LINCOLN COUNTY CLERK
,.! E A N N E W..'~.. G N E R
RELEASE OF VERIFIED LIEN STATEMENT AND JUDGMENT B¥'DEFAU.L--.T.
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 October 31,2001
at Book 476, Page 004, as Document No. 877046 and the AMENDED VERIFIED LIEN
STATEMENT FOR LIEN FOR MEDICAL ASSISTANCE which was recorded on July 12, 2002, on
property owned by Elsie Ratliff and affecting the lands described as:
Lot 13 of Westview Village SubdivisiOn, Lincoln County, Wyoming as described on
the official plat thereof. Together with all improvements situate thereon and all
easements and appurtenances belonging thereto. Quit Claim Deed recorded March
3, 1987 in Book 248 PR on page 587 of Lincoln County public records.
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
Elsie Ratliff has an interest.
Claimant also releases the JUDGMENT BY DEFAULT, which was recorded on March 31,
2003, at Book 516, Page 278, as Document No. 888826, Book 1PR, Page 256 Judgment.
IN WITNESS WHEREOF, I do hereunder set my hand this/c~-'"/X'-day of November, 2003.
STATE OF WYOMING )
) SS.
COUNTY OF LARAMIE )
~yoming, ~
The foregoing Release of Verified Lien Statement and Judgment by Default was subscribed
and sworn to before me by Debbie Paiz this ./,~_ ~ day of November, 2003.
My Commission expires:
WITNESS my hand and official seal.
Notary Public