HomeMy WebLinkAbout906040RECORDING REQUESTED BY AND
WHEN RECORDED MAIL TO:
JULIE M TIEDE
DIRECTOR, MONO DCSS SB#121999
DEPT. OF CHILD SUPPORT SERVICE
P.O. BOX 5044
MAMMOTH LAKES, CA 93546
RECEIVED 1/24/2005 at 11:06 AM
RECEIVING # 906040
BOOK: 577 PAGE: 661 JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
SPACE ABOVE THIS LINE RESERVED FOR RECORDER'S USE
TITLE(S)
NOTICE OF LIEN
A~[~J~NEY OR PARTY WITHOUT ATTORNEY (Name and Address): 0002073 FOR RECORDER'$ USE ONI. Y
~ Recording requested by and return to: 26JJM
JULIE M TIEDE
__ DIRECTOR, MONO DCSS S8#121999 . .: '
DEPT. OF CHILD SUPPORT SERVICES . .
P.O. BOX 5044
MAMMOTH LAKES, CA 93546
TELEPHONE NO.: (760) 924-1720
F-----IA]-FORNEY FOR ["~ JUDGMENT CREDITOR i--X--'~ ASSIGNEE OF RECORD
SUPERIOR COURT OF CALIFORNIA, COUNTY OF MONO
STREET ADDRESS:452 OLD MAMMOTH ROAD SIERRA CENTER MALL, 3RD FLR
MAILING ADDRESS:p.o. BOX 1037
;~TY AND Z~P CODE :MAMMOTH LAKES, CA 93546
BRANCH NAME: MONO COUNTY SUPERIOR COURT
PETITIONER/PLAINTIFF: COUNTY OF MONO
RESPONDENT/DEFENDANT: KENNY EPPLER
OTHER PARENT:
CASE NUMBER:
NOTICE OF LIEN 11545
TO:
(Name/Address of recorder)
LINCOLN COUNTY CLERK
PO BOX 607
KEMMERER, WY 83101
Notice of Lien
Obligor:
(Name/Address/DOB/SSN)
KENNY A. EPPLER
P.O. BOX 5200
ETNA, WY 83118
DOB: 06-25-1964
SSN: 530-84-8481
FROM:
(IV-D Agency or name of obligee and/or his or her private
attorney, or entity acting on behalf of the obligee,
address, phone, e-mail address, fax number)
DEPT. OF CHILD SUPPORT SERVICES
P.O. BOX 5044
MAMMOTH LAKES, CA 93546
TELEPHONE: (760) 924-1720 FAX: (760) 924-1721
E-MAIL ADDRESS: INYOJJM@QNET.COM
Obligee:
(Name)
EFFIE HERSHEY
IV-D Case#: 0002073
This lien results from a child support order, entered on by the SUPERIOR COURT OF
CALIFORNIA IN THE COUNTY OF MONO in CA tribunal number: 11545
As of 12-15-2004 , the obligor owes unpaid support in the amount of $108.00
This judgment may be subject to interest.
Prospective amounts of child support, not paid when due, are judgments that are added to the lien
amount. This lien attaches to all non-exempt real and/or titled personal property of the
above-named obligor which is located or existing within the State/county of filing, including any
property specifically described below.
Specific description of property:
NO APN
7624/26JJM ENF01 .
All aspects of this lien, including its priority and enforcement, are governed by the law of the State
where the property is located. An obligor must follow the laws and procedures of the State where
the property is located or recorded to contest or challenge this lien. This lien remains in effect until
released by the obligee or in accordance with the laws of the State of filing.
Note to Lien Recorder: Please provide the sender with a copy of the filed lien, containing the
recording information, at the address provided above.
Check either "A" or "B" below:
A. [ X ] Submitted by a IV-D agency/office on behalf of the named
As an authorized agent of a State or Tribal, or subdivision of a State or Tribal, agency responsible
for implementing the child support enforcement program set forth in Title IV, Part D, of the Federal
Social Security Act (42 U.S.C. 651 et seq.), I have authority to file this child support lien in any
State, or U.S. Territory. For additional information regarding this lien, including the pay-off amount,
please contact the authorized agency and reference its case number, both listed above.
DECEMBER 15, 2004
Date
JACK J. MCKINNEY
Print name, e-mail address, phone and fax number
TELEPHONE: (760) 924-1720
FAX: (760) 924-1721
E-MAIL ADDRESS: INYOJJM@QNET.COM
B. [ ] Submitted by an obligee or a private (non-IV-D) attorney or entity on behalf of an
[ ] the obligee of the above referenced order [or]
[ ] an attorney or entity representing the above named obligee
I certify under penalty of perjury that the information contained in this notice is true and accurate
and that this lien is submitted in accordance with the laws of the State of
For additional information regarding this lien, including the pay-off amount, please contact the
obligee listed above.
Date
Signature
Print name, e-mail address, phone and fax
STATE OF: CALIFORNIA
COUNTY OF: MONO
I certify that JACK J. MCKINNEY
the individual who signed the above.
appeared before me and is known to me as
Date 12-15-2004
SUSANA H.
My appointment expires
~ I;~ ~JoJ NOTARY PUBLIC.'CALIFORNIA
o,oco T
~~ ~yTerm E~. July
Notice: Respondents are not required to respond to this information collection unless it displays a valid OMB
control number. The average burden for responding to this information collection is estimated at 30 minutes.
If you believe this estimate is inaccurate, or if you have ideas to reduce this burden, please provide comment to
the issuing agency.
OMB Control#: 0970-0153 Expiration Date: 03/31/2004
7624/26JJM ENF01 .