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RECORDING REQUESTED BY
EL DORADO COUNTY DEPARTMENT
OF CHILD SUPPORT SERVICES
COUNTY CODE: 0601701
WHEN RECORDED MAIL TO
EL DORADO COUNTY DEPARTMENT OFo
CHILD SUPPORT SERVICES
924 EMERALD BAY RD STE A
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SPACE ABOVE THIS LINE RESERVED FOR RECORDER'S USE
DOCUMENT TITLE
NOTICE OF LIEN
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):
Recording requested by and return to: FOR RECORDER'S USE ONLY
CARRIE J. EF LENS, ATTORNEY
EL. DORADO CCUNTY
924 EMERALD BAY RD STE A
924 EMERALD BAY RD STE A 0170036905-01
SOUTH LAKE TA.-10E CA 96150-6434
TELEPHONE NO.: 1666) 901-3212 FAX NO. (Optional): (530) 541-1820
0 ATTORNEY FOR ® JUDGMENT CREDITOR = ASSIGNEE OF RECORD
SUPERIOR COURT OF CALIFORNIA, COUNTY OF EL DORADO
STREET ADDRESS: 1354 JOHNSON BLVD STE 2
MAILING ADDRESS: 1354 JOHNSON BLVD STE 2
CITY AND ZIP CODE SOUTH LAKE TAHOE 96150-8216
BRANCH NAME SOUTH LAKE TAHOE BRANCH
PFTITinvI[=o,(7(_AN."'CC, CO', NITY 07 1_1.
RESPONDENT/DEFENDANT: SERAFIN ZEPEDA MAGALLANES AKA FELIX
REYES
OTHER PARENT: ALEJANDRA DIAZ PEREZ
CASE NUMBER:
NOTICE OF LIEN SFS20010002
COUNTY RECORDER -RA, +SMITTAL STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
DCSS 0635 (38120/08 DEPARTMENT OF CHILD SUPPORT SERVICES
TAHOE CASE
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A-3644 r.F- ?
NOTICE OF LIEN
TO:
Cumberland County Recorder Clerk
1 Court House Sq, County Courthouse, Carlisle PA 17013
Obligor:
SERAFIN Z MAGALLANES, 08/18/1970,
2001 RUPLEY RD APT 210, CAMP HILL PA 17011-9023
FROM:
FL DORADO Cf )l iNTY DEPT. OF r14fT,D j1.ii=PQti2'T
924 EMERALD BAY RP STE A, SOUTH LAKE TAHOE C:; 96150-6434
(866) 901-3212, famsupslt@co.el-dorado.ca.us, (530) 541-1820
Obligee:
ALEJANDRA D PEREZ
IV-D Case #: 0170036905-01
This lien results from a child support order, entered on 10/10/2002 by SUPERIOR COURT OF
CALIFORNIA`. in EL DORADO tribunal number SFS20010002.
As of 12/20/2011 , the obligor owes unpaid support in the amount of $23,977.03
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 personal property of the above-named
obligor which is located or existing within the State/county of filing, including any property
specifically described below.
spc;iFc dcsci':N io?i of property.
2001 RUPLEY RD APT 210
CAMP HILL. PA 17011-9023
Page 1 of 3
f
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. An obligor may also contact the entity sending the
lien. This lien remains in effect until released or withdrawn by the obligee or in accordance with
the laws of the State where the property is located.
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. The option that does not apply maybe omitted from the form.
If "B" is checked, the form must be notarized.
A. rubmitted by a IV-D agency/office on benalf of the named obligee
As an ized 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 a thorized agency and reference its case
number, both listed above.
12/20/2011
Date Authorized Agent
LAURA BOREK
Print name, e-mail address, phone and fax number
B. [ ] Submitted by an obligee or a private (non-IV-D) attorney or entity on behalf of an
obligee u
I am [ ] 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 number
Page 2 of 3
C
Notary State: U?-C,?,lc??ru a
County:
I certify that ?uvl Ck d-r-P appeared before me and is known to me as the
individual who signed the above.,
Date: _ 40r" ?- "J' A eL _
i
Nntarv p:,.b is
My appointment expires Z/- 6 ' /j
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 estim ate is inaccurate, or if you have ideas to reduce this burden, please provide comment to the issuing
agency.
OMB Control #: 0970-0153 Expiration Date: 02/28/2011
MARY J. LUCKEL
COMM. 01843530 m
DORADO COL MY y
+.• CM ' 2D13
Page 3 of 3
EL DORADO COUNTY DEPT. OF CHILD SUPPORT
SERVICES
924 EMERALD BAY RD STE A
SOUTH LAKE TAHOE CA 96150-6434
O
Cumberland County Recorder Clerk
1 Court House Sq
County Courthouse
Carlisle PA 17013
0