HomeMy WebLinkAbout909569THE STATE OF WYOMING
THE COUNTY OF LINCOLN
SS.
RECEIVED 6/28/2005 at 4:14 PM
RECEIVING # 909569
BOOK: 589 PAGE: 576
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER VVY
AFFIDAVIT TERMINATING ESTATE BY THE ENTIRETIES
I, Dean J. Merritt, being of lawful age and first duly sworn according to law,
upon my oath, depose and state:
That I am of adult age, a resident of Lincoln County, Wyoming, and the
Affiant herein.
That by virtue of the conveyance which is recorded in the office of the
County Clerk for Lincoln County, Wyoming, located at Kemmerer,
Wyoming in Book 322PR on page 565 is recorded a Quit Claim Deed.
The Quit Claim Deed, dated the 11th day of March, 1971 conveys unto
Joseph M. Merritt and Lera B. Merritt, as Husband and Wife, as an estate
by the entireties the following described property, to-wit:
A portion of Lot 2 of Section 19, T34N R118W of the 6th P.M., Lincoln
County, Wyoming being more particularly described as follows'
BEGINNING at a point which is the southwest corner of said Lot 2 and
running thence East 225 feet;
thence North 150 feet;
thence West 225 feet;
thence South 150 feet to the POINT OF BEGINNING.
That said Joseph Marvin Merritt died on the 17th day of July, 1995, and
a copy of the original certificate of death, certified to as true an correct
by public authority in which the original of said certificate is a matter of
record, is attached hereto as Exhibit "A". ~
That by reason of death of said Joseph Marvin Merritt and by reason of
§2-9-102 W.S. (1980), the decedents interest and title in said
conveyance has terminated and title to the real property conveyed
thereby has vested absolutely in Lera B. Merritt continuously since the
death of the said decedent.
FURTHER AFFIANT SAYETH NOT.
Dated:
Dean J. Merritt
State of Wyoming )
)ss
County of Lincoln )
~_T.h_e f~o,/regoing insl:_r, pm~. t was subscribe~2005.and sworn to me by Dean J. Merritt
thi s~::::~~ day o ~-~~-
Witness my hand and official seal.
My Commission Expires:
NOTARY PUSUG
'<J'~'~'-~"' ....' SALT LAKE CITY - COUNTY HEALTH DEPARTMENT .................. z:..:-
DIVISION OF VITAL STATISTICS -. 0 0 5 7
^cc.. ,. ~.,..,..,,~, o.STATF, OF UTAH - DF. PA RTM ENT OF HEALTH
....... e ....... , CERTIFICATE OF DEATH .I
and R ..... LOCAL FILE NUMSER 18- 2789 STATE FILE NUMBER
I. NAME OF DECEDENT FIRST MIDDLE LAST I 2. SEX 3a. DATE OF DEATH (Mo. Oar. Y0 j~b. TIME OF DEATH ~24 ~w. clock)
JOSEPH HARTM . MERRITT~ Male July 17, 1995 / 2127
4. BATE OF BIRTH ¢~. Der. V, t/ 5. AGE.r:a,~ ~*~r~ lC u*~OEn ~ YEAR I~ Ue~OER 2~ HOURS 8. BIRIHPLACE tC~ 4 $t,~, ~ Fme~ c~ri [ 7. S~IAL SECURITY NUMBER
March 22, 190 89 Y,. I o.y, H .... [M,.o,.. Fai~iew, Wy~-g 520-42-4213
~a. PLACE OF D~ATH (Check only omB} 8b MANE OF HOSPITAL. NURSING HOME OR OTHER ~ACILI~ (If ~tsida a facility.
Salt Lake City Salt Lake Lera Bar~.
~ 1537 - east of ~a~e ~ayne L~co~ Wy~tng
13e. INSIDE Ct~ 13L ZfP CODE
LIMITS? ~4. WAS DECEDENT OF H SPANIC ORIGIN~ ~ Yes ~ NO 15. RACE - Bla~. ~,e. ~. Indian 16. EDUCATION ¢5pe~ only highesl g¢ade
(11 yes. sp~ify) ' (Tri~ may ~ enterS). Ja~anese. ~mp/et~) Elemenla~
elc. (S~/ {0-1~)-Co~ege (13-16 or t7
PARENTS George W~lli~ Merritt Martha Nora ~chaelson
iNFORMANT
SON - De~ MerriLL / Box 425 / ~a~e, .Wyo~g 83127
Bedford Lincoln County -
mSPOSlTION ~,., ~c,.~,,o. ~ ..... , July 21. 1995 C~ete~ Bedford,
-A~ENDED BY CERTI~ING PHYSICIAN 25. II ~, c..,fled by m. ~cal .... , ....... death rep0.. ,0 M.~.? D Ye, ~ N;1
CERTIFIER 27a. CERTIFIER~
~ CER~F~ING PHYSICIAN '
~ MEDICAL EXAMINER I LAW ENFORCEMENT OFFICIA~
~.. On lhe bas~s ol exam ual on ancot investigation ~h ~ op nion dee h oc~ned al the lime dalet place and due
~27b. SIGN~R E AND ~ OF~RTIFIER ' ' ~7c. L~ENSE NUMBER I~ Ihe27d.CaUSe(g}DATE SIGNEDa~d ma~ner(Mo.. ~ay.aS Yr.}Slated'
Brett Troye~ M.D., 50 North_Medical Drive, Salt Lake City, Utah 8~132 , ~, ~o,,~o~
REGI~TRAH ;
3 t ~[~.?~[~E~:.~S. ~~S tHAt CAUSEO TH6 dEZtH. ~ NOr ENTER rile UOOE OF DYING, SUCH AS CARO~AC
If any, leading Io Immediate DUE 70 ion xs A C~SE~ENCE OF): I
cause. Enter UNDERLYIHG
CAUSE (disease or inju~
DEATtt in death) ~ST ~ ,_
34. MANNER OF OEATH 35a, DATE OF INJUnY ~ 35~. TIME OF iNJURY I 3~. iNJURY AT WORK? 3~. P~CE OF INJUnY-AI hem., latin.
Thomas L.(S')ch Jl ker, MD '--~
information on file in this office. This certified
copy is issued under authority of Section 26-15-26
of the Utah Code Annotated, 1953 as amended.
Date Issued
:1.67458
JUL 1 9 1995
Director of Health