HomeMy WebLinkAbout906313When Recorded Return to:
Espy Law Office, P.C.
Pest Office Box 3029
Cheyenne, WY 82003
RECEIVED 2/7/2005 at 10:45 AM
RECEIVING # 906313
BOOK: 578 PAGE: 456
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
RELEASE OF VERIFIED LIEN STATEMENT
'20456
Claimant, State of Wyoming, Department of Health, Office of Medicaid 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 07/06/2004, ~at Book 560, Page 887, as Document No. 900785 on property
owned by Daniel D. Aullman and affecting the lands described as:
AN UNDIVIDED ONE-HALF INTEREST IN:
Beginning at the Southwest Corner of the E1/2 E1/2 NW 1/4 of Section 25,
T34N, R119W, 6th P.M., Wyoming, and running thence North, along the
West Boundary of said E1/2 E1/2 NW 1/4,466.69 feet, thence East 466.69
feet, thence South 466.69 feet, more of less, to the South Boundary of said
E1/2 E1/2 NWl/4, thence West, along said South Boundary, 466.69 feet,
more or less, to the point of beginning. Together with all improvements
thereon, and easements, appurtenances, and incidents, belonging and
appertaining 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 Daniel D. Aullman has an interest.
._~.. IN WITNESS ldo hereunder set my hand this ~..~d-day of
WREREOF,
2oo5.
State of'V~yoming, ~ ~
/~'pa~rner~ of Hoalth/~
By: Debbie Paiz
Its: Recovery Manager
STATE OF WYOMING )
) SS.
COUNTY OF LARAMIE )
The foregoing Release of Verified Lien Statement was subscribed and sworn to
before me by Debbie Paiz this ~,'¢ day of ~---~¢//¢,¢,u~4 ~ ,2005.
WITNESS my hand and official seal.
NOTARY PUBLIC -
My Commission expires: